Organization
AEGIS HEALTHCARE HOLDINGS, INC
Active
Other names
Aegis Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN IFEDIRAH (PRESIDENT/CEO)
(410) 499-4966
Entity
Organization
Contact information
Practice address
1705 CINNAMON TEAL WAY, UPPER MARLBORO, MD 20774-4003
(410) 499-4966
Mailing address
1655 FORT MYER DR, SUITE 700, ARLINGTON, VA 22209-3113
(410) 499-4966
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/26/2009
Last updated
05/04/2009
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