# MBI

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

## Provider details

- **NPI number:** 1619336716
- **Authorized official:** MISS RUTH EBANGHA TAMBE I (HOME HEALTH AID)
- **Authorized official phone:** (240) 898-8768

## Contact information

- **Practice address:** 4609 30TH ST, 4609, MOUNT RAINIER, MD 20712-1316
- **Practice address phone:** (240) 898-8768
- **Mailing address:** 4609 30TH STREET, 4609, MOUNT RAINIER, MD 20712
- **Mailing address phone:** (240) 898-8768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA11745 | WA | Yes |

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 02/17/2016