Organization
AMAZING GRACE NURSING CARE SERVICE
Active
Other names
Amazing Grace Nursing Care Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC UDOYEN (DIRECTOR)
(908) 206-9988
Entity
Organization
Contact information
Practice address
2165 MORRIS AVE STE 1A, UNION, NJ 07083-5920
(908) 206-9988
(908) 206-9986
Mailing address
2165 MORRIS AVE STE 1A, UNION, NJ 07083-5920
(908) 206-9988
(908) 206-9986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0024800
NJ
385H00000X
Respite Care
HP0024800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096164
—
NJ
01
—
HP0024800
LICENSE NUMBER
NJ
Enumeration date
03/23/2007
Last updated
04/27/2021
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