Organization
AGELESS HEALTHCARE LLC
Active
Other names
Ageless Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENE GAYLE GAYLE BANKS (ADMINISTRATOR)
(240) 481-7844
Entity
Organization
Contact information
Practice address
6475 NEW HAMPSHIRE AVE STE 604, HYATTSVILLE, MD 20783-3280
(240) 481-7844
Mailing address
PO BOX 428, MOUNT RAINIER, MD 20712-0428
(301) 679-9653
(240) 494-2603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
12/11/2020
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