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Contact Information

AMAZING GRACE CHRISTIAN SERVICES
11205 LAKE VICTORIA LN
BOWIE, MD20720-4262
 Phone: 301-809-6310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for AMAZING GRACE CHRISTIAN SERVICES

NPI # 1750709549
LBN Legal business name AMAZING GRACE CHRISTIAN SERVICES
Authorized official GRACE CLARK - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2014
Last updated 03/31/2014 - About 12 years ago
Identifiers
FL License # CL73048
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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