Organization
HHA
Active
Parent organization
CNA
Other names
CNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CNA
Authorized official
MR. AMSTRONG AJONG NJUALEM (HHA)
(240) 413-6483
Entity
Organization
Contact information
Practice address
3320 DODGE PARK RD APT 103, HYATTSVILLE, MD 20785-2116
(240) 413-6483
Mailing address
3320 DODGE PARK RD APT 103, HYATTSVILLE, MD 20785-2116
(240) 413-6483
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA11393
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061628877
—
DC
Enumeration date
08/04/2015
Last updated
08/04/2015
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