Provider Demographics
NPI:1083299234
Name:GRACE SPEAKS, LLC
Entity Type:Organization
Organization Name:GRACE SPEAKS, LLC
Other - Org Name:GRACE SPEAKS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:OWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-463-1903
Mailing Address - Street 1:256 CHALET CIR E
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1021
Mailing Address - Country:US
Mailing Address - Phone:240-463-1903
Mailing Address - Fax:410-497-1118
Practice Address - Street 1:256 CHALET CIR E
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1021
Practice Address - Country:US
Practice Address - Phone:240-463-1903
Practice Address - Fax:410-497-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5421252500Medicaid
MD5208902500Medicaid