OrganizationGrace Home Medical Equipment Llc(<Unavail>)Durable Medical Equipment & Medical SuppliesSuppliersPractice Address810 Cromwell Park Dr, Suite F, Glen Burnie, MD 21061(410) 939-1212PECOS EnrollmentBased on the most recent information from CMS, provider Grace Home Medical Equipment Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:34 AM.Profile DetailsProvider ID1104901453Provider TypeOrganizationFull NameGrace Home Medical Equipment LlcOther Name<Unavail>SubpartNoEnumeration Date10/26/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address810 Cromwell Park Dr, Suite F, Glen Burnie, MD 21061Phone(410) 939-1212Fax(410) 939-5952Mailing LocationMailing Address540 South Union Avenue, Havre De Grace, MD 21078Phone(410) 939-1212Fax(410) 939-5952Authorized OfficialNameRichardson, Mark D (President)Phone(410) 939-1212Provider TaxonomiesCodeDescriptionLicenseCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode332BC3200XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode332BP3500XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode332BX2000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted Issuer