Amazing Grace Healthcare,llc

NPI #1073173522 in Landover, Maryland

Provider Information

NPI Number: 1073173522
Entity Type: Organization
Organization Name: Amazing Grace Healthcare,llc
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 17, 2019
Last Updated: Nov 24, 2020

Practice Location

Address: 2306 BRIGHTSEAT RD APT 5
City: Landover
State: Maryland
ZIP Code: 20785-3550
Phone: (202) 390-7313

Authorized Official

Name: BINETTE FORZONG FONGE
Title: DIRECTOR
Phone: (202) 390-7313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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