Organization
IMPECCABLE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANTI OLUBUKOLA OKE (DIRECTOR OF OPERATION)
(301) 323-5124
Entity
Organization
Contact information
Practice address
9420 ANNAPOLIS RD STE 200, LANHAM, MD 20706-3062
(301) 323-5124
Mailing address
13209 AILESBURY CT UPPR MARLBORO, UPPER MARLBORO, MD 20772-6100
(301) 323-5124
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
03/25/2024
Last updated
10/12/2024
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