# XTRA MILES NURSING LLC

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

## Provider details

- **NPI number:** 1891483905
- **Authorized official:** MRS. OMOLARA ARIBISALA (OWNER/ PRESIDENT)
- **Authorized official phone:** (240) 370-7509

## Contact information

- **Practice address:** 3819 GAWAYNE TER, SILVER SPRING, MD 20906-2656
- **Practice address phone:** (240) 370-7509
- **Practice address fax:** (240) 363-8106
- **Mailing address:** 3819 GAWAYNE TER, SILVER SPRING, MD 20906-2656
- **Mailing address phone:** (240) 370-7509
- **Mailing address fax:** (240) 363-8106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | NULL | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/26/2023