Organization
AMC SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOMRABAI OBAI BANGURA (ADMINISTRATOR)
(240) 413-9916
Entity
Organization
Contact information
Practice address
3475 LEONARDTOWN RD, WALDORF, MD 20601-3678
(240) 413-9916
Mailing address
3475 LEONARDTOWN RD, WALDORF, MD 20601-3678
(240) 413-9916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526475650062
—
MD
Enumeration date
11/02/2020
Last updated
11/02/2020
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