# ALTA HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1659882173
- **Authorized official:** HANNAH DIBONGE (CEO)
- **Authorized official phone:** (240) 506-1728

## Contact information

- **Practice address:** 101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877-2633
- **Practice address phone:** (240) 801-9818
- **Practice address fax:** (240) 801-9819
- **Mailing address:** 21506 MANOR VIEW CIR, GERMANTOWN, MD 20876-5924
- **Mailing address phone:** (240) 506-1728

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 09/30/2025