Organization
LONGEVITY HOME HEALTHCARE, LLC
Active
Other names
Longevity Home Health Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODSON CHUKWUMA EZEJIOFOR DHA (ADMINISTRATOR)
(240) 460-3969
Entity
Organization
Contact information
Practice address
3450 LAUREL FORT MEADE RD STE 205, LAUREL, MD 20724-2104
(240) 389-5292
Mailing address
3450 LAUREL FORT MEADE RD STE 205, LAUREL, MD 20724-2104
(240) 389-5292
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236795
—
MD
Enumeration date
06/06/2018
Last updated
08/08/2022
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