Organization
ALTA HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH DIBONGE (ADMINISTRATOR)
(240) 506-1728
Entity
Organization
Contact information
Practice address
101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877-2633
(240) 801-9818
(240) 801-9819
Mailing address
101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877-2633
(240) 506-1728
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
06/28/2022
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