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Organization

WORLDSHINE INTERNATIONAL LLC

Active
Other names
Worldshine Adult Medical Day Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. QILI LI (MANAGING MEMBER)
(301) 562-1999
Entity
Organization

Contact information

Practice address
700 PROFESSIONAL DR, GAITHERSBURG, MD 20879-3418
(240) 899-4898
(240) 767-6058
Mailing address
700 PROFESSIONAL DR, GAITHERSBURG, MD 20879-3418
(240) 332-5466
(240) 767-6058

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
314000000X
Skilled Nursing Facility
15-004-A
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15-004-A
DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF HEALTH CARE QUALITY
MD
01
AMDC-0025
DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF HEALTH CARE QUALITY
MD
Enumeration date
11/14/2014
Last updated
07/17/2024
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