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Organization
ALTA HEALTHCARE SERVICES LLC
Active
Organization
ALTA HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH DIBONGE (CEO)
(240) 506-1728
Entity
Organization
Contact information
Practice address
21506 MANOR VIEW CIR, GERMANTOWN, MD 20876-5924
(240) 506-1728
Mailing address
21506 MANOR VIEW CIR, GERMANTOWN, MD 20876-5924
(240) 506-1728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/26/2017
Last updated
05/24/2019
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