Organization
GIFTIE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN BEJANGA RN (RN)
(240) 605-5582
Entity
Organization
Contact information
Practice address
23304 RAINBOW ARCH DR, CLARKSBURG, MD 20871-4449
(240) 605-5582
(301) 972-1768
Mailing address
23304 RAINBOW ARCH DR, CLARKSBURG, MD 20871-4449
(240) 605-5582
(301) 972-1768
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R4162
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621610
BUSINESS CODE #
MD
01
—
W17252651
TAX ID #
MD
Enumeration date
02/26/2018
Last updated
06/16/2018
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