Organization
AMAZING GRACE NURSING CARE LLC
Active
Parent organization
AMAZING GRACE NURSING CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMAZING GRACE NURSING CARE LLC
Authorized official
MRS. CHEMO MARYSTELLA ATTEY MOUANJO NURSE (OWNER)
(240) 408-6204
Entity
Organization
Contact information
Practice address
230 LONGFELLOW STREET NW, WASHINGTON, DC 20011
(240) 408-6204
Mailing address
230 LONGFELLOW STREET NW, WASHINGTON, DC 20011
(240) 408-6204
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NSA-0173
DC
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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