# BLUE OAK HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1881541209
- **Authorized official:** MR. NELSON BALINGWE (OWNER)
- **Authorized official phone:** (123) 456-7890

## Contact information

- **Practice address:** 1818 NEW YORK AVE NE STE 225, WASHINGTON, DC 20002-1851
- **Practice address phone:** (123) 456-7890
- **Mailing address:** 11817 FROST DR, BOWIE, MD 20720-4428
- **Mailing address phone:** (123) 456-7891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2026
- **Last updated:** 03/13/2026