Organization
LIFELINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BINTU DUMBUYA (HHA)
(301) 323-5130
Entity
Organization
Contact information
Practice address
3989 WARNER AVE APT C2, HYATTSVILLE, MD 20784-2051
(301) 323-5130
Mailing address
3989 WARNER AVE APT C2, HYATTSVILLE, MD 20784-2051
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
DC
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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