Organization
BEULAH SPRING ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA OTON EKONG DNP (OWNER)
(240) 602-7099
Entity
Organization
Contact information
Practice address
13908 EDSALL ST, UPPER MARLBORO, MD 20772-6849
(240) 602-7099
Mailing address
13908 EDSALL ST, UPPER MARLBORO, MD 20772-6849
(240) 602-7099
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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