Organization
SUGGERO HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABATUNDE OLUJOBI CRNP-PMH (DIRECTOR)
(718) 309-1190
Entity
Organization
Contact information
Practice address
11405 VILLA CT, UPPER MARLBORO, MD 20774-5702
(718) 309-1190
Mailing address
11405 VILLA CT, UPPER MARLBORO, MD 20774-5702
(718) 309-1190
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN202077
MD
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/25/2013
Last updated
09/19/2022
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