Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Graceland Residential Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1376497198

Graceland Residential Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Glenn Dale, Maryland. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7003 Fountain Park Dr
Glenn Dale, MD 20769-9475
Phone: (919) 525-6764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1376497198
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen David — Ceo · (919) 525-6764
NPI enumeratedFebruary 26, 2026
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address7003 Fountain Park Dr, Glenn Dale, MD 20769-9475