Organization
ADVENTIST HEALTHCARE
Active
Other names
Adventist Home Assistance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH DOMINIC BALLENGER (VICE PRESIDENT)
(301) 592-4409
Entity
Organization
Contact information
Practice address
12041 BOURNEFIELD WAY, SUITE B, SILVER SPRING, MD 20904-7907
(301) 592-4500
(301) 592-4406
Mailing address
12041 BOURNEFIELD WAY, SUITE B, SILVER SPRING, MD 20904-7907
(301) 592-4500
(301) 592-4406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1033
MD
164W00000X
Licensed Practical Nurse
R1033
MD
376K00000X
Nurse's Aide
Primary
R1033
MD
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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