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Organization
LIFEBRIDGE HEALTH CARE SERVICES, L.L.C
Active
Organization
LIFEBRIDGE HEALTH CARE SERVICES, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABREHET MELES GIRMAY (DIRECTOR)
(202) 650-1578
Entity
Organization
Contact information
Practice address
6731 NEW HAMPSHIRE AVE APT 507, TAKOMA PARK, MD 20912-2803
(301) 332-1037
Mailing address
6731 NEW HAMPSHIRE AVE APT 507, TAKOMA PARK, MD 20912-2803
(301) 332-1037
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
400314001477
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400314001477
BASIC BUSINESS LICENSE
DC
05
—
400314001477
—
DC
Enumeration date
06/15/2014
Last updated
06/15/2014
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