OrganizationActive
Divine Grace Limited Liability Company
NPI 1891628004 · Military Health Care Provider · Bowie, MD
Provider details
- NPI number
- 1891628004
- Entity type
- Organization
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Bukola Adebayo, Managing Director(443) 608-7077
Specialties & taxonomies
Other Service Providers
Practice location
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone: (443) 608-7077
Approximate (ZIP-level) locationGet directions
Mailing address
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Registry dates
- Enumerated
- 2026-06-06
- Last updated
- 2026-06-06
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.