# IMMACULATE HEALTH CARE SERVICES,INC

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

## Provider details

- **NPI number:** 1710126784
- **Authorized official:** KENNETH .A. OSUJI (ADMINISTRATOR)
- **Authorized official phone:** (202) 832-8340

## Contact information

- **Practice address:** 12817 ODENS BEQUEST DR, BOWIE, MD 20720
- **Practice address phone:** (202) 832-8340
- **Practice address fax:** (202) 832-8341
- **Mailing address:** 1818 NEW YORK AVE NE, SUITE 228, WASHINGTON, DC 20002-1848
- **Mailing address phone:** (202) 832-8340
- **Mailing address fax:** (202) 832-8341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCA0012 | DC | Yes |

## Other

- **Enumeration date:** 02/13/2009
- **Last updated:** 02/13/2009