Organization
MALIAH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD ENGONO (CEO)
(202) 914-9107
Entity
Organization
Contact information
Practice address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 914-9107
Mailing address
1302 OLD DRUMMER BOY LN, FORT WASHINGTON, MD 20744-4163
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/24/2024
Last updated
06/16/2024
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