Organization
IVYROSE HEALTHCARE
Active
Other names
FirstLight HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE EZIKPE (EXECUTIVE DIRECTOR)
(301) 717-0625
Entity
Organization
Contact information
Practice address
11161 NEW HAMPSHIRE AVE, SUITE 402, SILVER SPRING, MD 20904-2606
(301) 798-5880
(301) 798-5887
Mailing address
1310 LEISTER DR, SILVER SPRING, MD 20904-1545
(301) 798-5880
(301) 798-5887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3881
MD
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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