Organization
FIRST CHOICE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KOMETA NGWAFA (OWNER)
(202) 904-5237
Entity
Organization
Contact information
Practice address
14802 BOWIE FARM CT, BOWIE, MD 20721-6226
(202) 904-5237
Mailing address
14802 BOWIE FARM CT, BOWIE, MD 20721-6226
(202) 904-5237
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037934200
—
DC
Enumeration date
12/16/2018
Last updated
10/31/2019
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