# MLB CARE HEALTH SERVICES, INC.

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

## Provider details

- **NPI number:** 1942963384
- **Authorized official:** MAC BANGOURA (CEO)
- **Authorized official phone:** (202) 744-8132

## Contact information

- **Practice address:** 950 N WASHINGTON ST \# 353, ALEXANDRIA, VA 22314-1534
- **Practice address phone:** (202) 316-1259
- **Mailing address:** 950 N WASHINGTON ST \# 353, ALEXANDRIA, VA 22314-1534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2021
- **Last updated:** 04/09/2024