Organization
SHABACH MINISTRIES INC
Active
Parent organization
SHABACH MINISTRIES INC
Other names
SHABACH Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHABACH MINISTRIES INC
Authorized official
DR. GEORGINA AGYEKUM MANZANO (HEALTH CENTER ADMINISTRATOR)
(301) 773-3600
Entity
Organization
Contact information
Practice address
403 BRIGHTSEAT RD, LANDOVER, MD 20785-4737
(301) 773-3600
Mailing address
3600 BRIGHTSEAT RD, LANDOVER, MD 20785-2414
(301) 773-3600
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
01/17/2020
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