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Organization
ST. AUGUSTIN HEALTHCARE SERVICES L.L.C
Active
Organization
ST. AUGUSTIN HEALTHCARE SERVICES L.L.C
Active
Other names
St. Augustin Healthcare Services L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BASIL TEGHEN NDUM RN (MANAGER)
(240) 872-6598
Entity
Organization
Contact information
Practice address
9105 JOUSTING LN, UPPER MARLBORO, MD 20772-4388
(240) 872-6598
Mailing address
3301 RICHMOND HWY, ALEXANDRIA, VA 22305-3044
(240) 872-6598
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
NULL
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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