Organization
ALTA HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH DIBONGE (ADMINISTRATOR)
(240) 506-1728
Entity
Organization
Contact information
Practice address
101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877-2633
(240) 506-1728
Mailing address
21506 MANOR VIEW CIR, GERMANTOWN, MD 20876-5924
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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