Organization · Type 2 NPI

Divine Grace Limited Liability Company

Military Health Care Provider · Bowie, MD

NPI number 1891628004 Active

Practice location

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Call (443) 608-7077 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

113 other providers at this address

About NPI 1891628004

Divine Grace Limited Liability Company's National Provider Identifier is 1891628004, issued on Jun 6, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Bowie, MD. The record was last updated on Jun 10, 2026.