# CONVENTIONAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316184138
- **Authorized official:** TELFIE GEBEYEHU LAKEW REGISTERED NURSE (ADMINISTRATOR)
- **Authorized official phone:** (301) 775-1861

## Contact information

- **Practice address:** 11710 OLD GEORGETOWN RD APT 1109, 1109, ROCKVILLE, MD 20852-2681
- **Practice address phone:** (301) 775-1861
- **Practice address fax:** (301) 881-8328
- **Mailing address:** 11710 OLD GEORGETOWN RD APT 1109, 1109, ROCKVILLE, MD 20852-2681
- **Mailing address phone:** (301) 775-1861
- **Mailing address fax:** (301) 881-8328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R2671 | MD | Yes |

## Other

- **Enumeration date:** 01/15/2009
- **Last updated:** 02/24/2016
