Individual
ELODIE MADENGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5504 SMITA PL, LANHAM, MD 20706-2475
(240) 779-5653
Mailing address
5504 SMITA PL, LANHAM, MD 20706-2475
(240) 779-5653
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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