# BEULAH NURSING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beulah Nursing Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326617457
- **Authorized official:** ADEBISI O SHOWUNMI (CEO/ADMINISTRATOR)
- **Authorized official phone:** (301) 395-7874

## Contact information

- **Practice address:** 3500 SUGAR MAPLE CT, WALDORF, MD 20602-2625
- **Practice address phone:** (301) 395-7874
- **Mailing address:** 3500 SUGAR MAPLE CT, WALDORF, MD 20602-2625
- **Mailing address phone:** (301) 395-7874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 06/22/2021