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Organization

NEPEMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINA S BENTIL (PROGRAM DIRECTOR)
(301) 686-4104
Entity
Organization

Contact information

Practice address
21029 COG WHEEL WAY, GERMANTOWN, MD 20876-4271
(240) 477-4834
Mailing address
21029 COG WHEEL WAY, GERMANTOWN, MD 20876-4271
(240) 477-4834

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
03/31/2026
Last updated
03/31/2026
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