Organization
JUBILEE HEALTH VENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLIVIA ONYECHI LPN (ADMINISTRATOR)
(240) 299-3987
Entity
Organization
Contact information
Practice address
4637 COLONEL FENWICK PL, UPPER MARLBORO, MD 20772-5924
(240) 510-3331
(240) 339-1947
Mailing address
4637 COLONEL FENWICK PL, UPPER MARLBORO, MD 20772-5924
(240) 299-3987
(240) 339-1947
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899033600
—
MD
Enumeration date
03/18/2021
Last updated
04/14/2021
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