# NMS HEALTHCARE OF HYATTSVILLE, LLC

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

## Provider details

- **NPI number:** 1558613224
- **Authorized official:** MR. AGUSTIN RAMOS COO (CHIEF OPERATIONS OFFICIER)
- **Authorized official phone:** (301) 864-2333

## Contact information

- **Practice address:** 4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
- **Practice address phone:** (301) 864-2333
- **Practice address fax:** (301) 864-0443
- **Mailing address:** 4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
- **Mailing address phone:** (301) 864-2333
- **Mailing address fax:** (301) 864-0443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2012
- **Last updated:** 10/05/2012
