NPI 1073173522

Amazing Grace Healthcare,llc

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Landover, MD

Practice location

Address: 2306 Brightseat Rd APT 5, Landover, MD 20785-3550
Phone: (202) 390-7313

Authorised official

Name: Binette Forzong Fonge
Title: Director
Phone: (202) 390-7313

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Maryland →

Registry record

NPI: 1073173522
Entity type: Organization
NPI issued: 17 Jun 2019
Record last updated: 24 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.