| NPI | 1639857279 |
|---|---|
| Former Legal Business Name | BY HIS GRACE HOME SUPPORT AGENCY |
| Entity Type | Organization |
| Authorized Contact | KUNGANG MAX CEO 240-467-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |