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Organization
XTRA MILES NURSING LLC
Active
Organization
XTRA MILES NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OMOLARA ARIBISALA (OWNER/ PRESIDENT)
(240) 370-7509
Entity
Organization
Contact information
Practice address
3819 GAWAYNE TER, SILVER SPRING, MD 20906-2656
(240) 370-7509
(240) 363-8106
Mailing address
3819 GAWAYNE TER, SILVER SPRING, MD 20906-2656
(240) 370-7509
(240) 363-8106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
364SH0200X
Home Health Clinical Nurse Specialist
—
NULL
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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