Provider Demographics
NPI:1134920572
Name:IMMANUEL TOUCH OF GRACE AND FAITH INC
Entity type:Organization
Organization Name:IMMANUEL TOUCH OF GRACE AND FAITH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GWENDDYN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-489-5728
Mailing Address - Street 1:42 MARLOW RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3706
Mailing Address - Country:US
Mailing Address - Phone:347-489-5728
Mailing Address - Fax:
Practice Address - Street 1:42 MARLOW RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3706
Practice Address - Country:US
Practice Address - Phone:347-489-5728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)