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Organization
ACTIVE HOME CARE SERVICES INC
Active
Organization
ACTIVE HOME CARE SERVICES INC
Active
Other names
ACTIVE HOME CARE SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHADRACK JORAM BAMPEBUYE (CEO)
(202) 763-2290
Entity
Organization
Contact information
Practice address
1700 ROCKVILLE PIKE, ROCKVILLE, MD 20852-1631
(240) 542-4240
Mailing address
1700 ROCKVILLE PIKE STE 270A, ROCKVILLE, MD 20852-1677
(240) 542-4240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/01/2020
Last updated
06/27/2023
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