Organization
BY HIS GRACE HOME SUPPORT AGENCY
Active
Other names
BY HIS GRACE HOME SUPPORT AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KUNGANG MAX (CEO)
(240) 467-0959
Entity
Organization
Contact information
Practice address
600 MASSACHUSETTS AVE NW, WASHINGTON, DC 20001-5358
(240) 467-0959
Mailing address
9122 BALTIMORE AVE, COLLEGE PARK, MD 20740-1359
(240) 467-0959
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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