Organization
VANTAGE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALIFA SALIM SUSHY (CEO)
(202) 766-8182
Entity
Organization
Contact information
Practice address
2811 PENNSYLVANIA AVE SE STE B, WASHINGTON, DC 20020-3865
(202) 766-8182
Mailing address
13508 STEEPLECHASE DR, BOWIE, MD 20715-4548
(202) 766-8182
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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