OrganizationAmazing Grace Medical Center LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address445 Marshall St, Phillipsburg, NJ 08865-2695(609) 582-0899(973) 704-5644PECOS EnrollmentBased on the most recent information from CMS, provider Amazing Grace Medical Center Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1801420948Provider TypeOrganizationFull NameAmazing Grace Medical Center LlcSubpartNoEnumeration Date2/27/2020Last Updated2/27/2020Contact InformationPractice LocationPractice Address445 Marshall St, Phillipsburg, NJ 08865-2695Phone(609) 582-0899Fax(833) 957-0121Mailing LocationMailing Address4995 Derby Ln, Bethlehem, PA 18020-9418Phone(973) 704-5644FaxUnlisted FaxAuthorized OfficialNameEzeanya, Ebere (Owner)Phone(973) 704-5644Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer