Organization
A&O SUPREME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH NGIEH (DIRECTOR)
(240) 821-2078
Entity
Organization
Contact information
Practice address
4200 EVERGREEN LN STE 332, ANNANDALE, VA 22003-3252
(240) 821-2078
Mailing address
4807 TYLERS HOPE DR, BOWIE, MD 20720-6303
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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