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Organization

STANLY

Active
Other names
stanly nkonyam
Organization subpart
No

Provider details

NPI number
Authorized official
STANLY AKO NKONYAM (HHA)
(240) 593-3659
Entity
Organization

Contact information

Practice address
3322 DODGE PARK RD, APT 201, HYATTSVILLE, MD 20785
(240) 593-3659
Mailing address
3322 DODGE PARK RD APT 201, HYATTSVILLE, MD 20785-2118
(240) 593-3659

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA1829
WA

Other

Enumeration date
04/23/2014
Last updated
04/23/2014
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