Organization
JEROME NYONGBELA
Active
Parent organization
HOME HEALTH AGENCY
Other names
BRIGHT STAR
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME HEALTH AGENCY
Authorized official
KEHBILA E BAYUGA (HOME HEALTH AIDE)
(202) 640-8916
Entity
Organization
Contact information
Practice address
3516 DEAN DR, P5, HYATTSVILLE, MD 20782-1212
(202) 640-8916
Mailing address
3516 DEAN DR, P5, HYATTSVILLE, MD 20782-1212
(202) 640-8916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA11292
DC
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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