# VASTLAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vastland Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366953416
- **Authorized official:** WELLINGTON OGUDE (ADMINISTRATOR)
- **Authorized official phone:** (202) 460-0403

## Contact information

- **Practice address:** 6106 EDMONDSON AVE STE 102&105, CATONSVILLE, MD 21228-1830
- **Practice address phone:** (202) 460-0403
- **Practice address fax:** (301) 965-8625
- **Mailing address:** 6106 EDMONDSON AVE STE 102&105, CATONSVILLE, MD 21228-1830
- **Mailing address phone:** (202) 460-0403
- **Mailing address fax:** (301) 965-8625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | R4101 | MD | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 07/19/2021