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Organization

BONES ON WHEELS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORGE IVAN GOMEZ (X-RAY)
(240) 535-9665
Entity
Organization

Contact information

Practice address
3432 STONEHALL DR, BELTSVILLE, MD 20705-1028
(240) 535-9665
Mailing address
3432 STONEHALL DR, BELTSVILLE, MD 20705-1028

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
09/11/2008
Last updated
09/11/2008
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