Organization
1ST AGILE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROUGUIATOU BAH (OWNER)
(301) 802-2685
Entity
Organization
Contact information
Practice address
10911 PEBBLE RUN DR, SILVER SPRING, MD 20902-3685
(301) 802-2685
Mailing address
10911 PEBBLE RUN DR, SILVER SPRING, MD 20902-3685
(301) 802-2685
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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