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Organization
BEULAH NURSING SERVICES LLC
Active
Organization
BEULAH NURSING SERVICES LLC
Active
Other names
Beulah Nursing Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBISI O SHOWUNMI (CEO/ADMINISTRATOR)
(301) 395-7874
Entity
Organization
Contact information
Practice address
3500 SUGAR MAPLE CT, WALDORF, MD 20602-2625
(301) 395-7874
Mailing address
3500 SUGAR MAPLE CT, WALDORF, MD 20602-2625
(301) 395-7874
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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