# REHOBOTH MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1356980270
- **Authorized official:** KATHRYN MADUFORO DNP, NP-C (CEO)
- **Authorized official phone:** (240) 254-3375

## Contact information

- **Practice address:** 11223 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
- **Practice address phone:** (240) 254-3375
- **Practice address fax:** (410) 844-6442
- **Mailing address:** 11223 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
- **Mailing address phone:** (240) 254-3375
- **Mailing address fax:** (410) 844-6442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2019
- **Last updated:** 06/05/2024