Organization
GRACE HOMES HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDE BUSONG FONGUH PHARMD (OWNER)
(513) 602-2289
Entity
Organization
Contact information
Practice address
5660 SOUTHWYCK BLVD # 220A, TOLEDO, OH 43614-1566
(513) 602-2289
Mailing address
PO BOX 441, SYLVANIA, OH 43560-0441
(513) 602-2289
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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