# BAGIWA HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bagiwa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902380926
- **Authorized official:** ANN SMITH RN (OWNER/PRESIDENT)
- **Authorized official phone:** (301) 968-0961

## Contact information

- **Practice address:** 15510 AITCHESON LN, LAUREL, MD 20707-3044
- **Practice address phone:** (240) 603-6123
- **Practice address fax:** (019) 050-4463
- **Mailing address:** 10319 WESTLAKE DR \# 115, BETHESDA, MD 20817-6403
- **Mailing address phone:** (301) 968-0961
- **Mailing address fax:** (301) 968-0961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/17/2018
- **Last updated:** 05/05/2022