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Organization
ELECTROLIFE INFUSION LLC
Active
Organization
ELECTROLIFE INFUSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATYANA ALETHIA WORTHY RN (DIRECTOR)
(240) 244-7222
Entity
Organization
Contact information
Practice address
4500 FORBES BLVD STE 200-W21, LANHAM, MD 20706-6312
(240) 244-7222
Mailing address
4500 FORBES BLVD STE 200-W21, LANHAM, MD 20706-6312
(240) 244-7222
(202) 821-1322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251F00000X
Home Infusion Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RSA-02440
RSA
MD
Enumeration date
01/26/2021
Last updated
10/08/2024
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