Organization
NOVENA HEALTHCARE, INC.
Active
Organization
NOVENA HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED PHILLIPS (ADMINISTRATOR)
(888) 958-3524
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD STE A314, BOWIE, MD 20716-3136
(888) 958-3524
(888) 958-3524
Mailing address
4000 MITCHELLVILLE RD STE A314, BOWIE, MD 20716-3136
(888) 958-3524
(888) 958-3524
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
Update your record
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