Organization
AMAZING GRACE HEALTH CARE LLC
Active
Organization
AMAZING GRACE HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINETTE FORZONG FONGE PHD (PRESIDENT)
(202) 390-7313
Entity
Organization
Contact information
Practice address
5135 BRIDESHEAD CT, WHITE PLAINS, MD 20695-3186
(202) 390-7313
Mailing address
5135 BRIDESHEAD CT, WHITE PLAINS, MD 20695-3186
(202) 390-7313
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
12/02/2023
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