Organization
BENU HEALTH CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS NCHOTAKU FORKA (CEO)
(240) 353-9096
Entity
Organization
Contact information
Practice address
6495 NEW HAMPSHIRE AVE STE LL033, HYATTSVILLE, MD 20783-3299
(240) 353-9096
(301) 446-3562
Mailing address
6495 NEW HAMPSHIRE AVE STE LL033, HYATTSVILLE, MD 20783-3299
(240) 353-9096
(301) 446-3562
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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