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Organization

INTEGRATED HEALTH ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ILYAS HAMIDZAI (ADMINISTRATOR)
(301) 580-6027
Entity
Organization

Contact information

Practice address
8020 BRADLEY BLVD, BETHESDA, MD 20817-1908
(301) 580-6027
Mailing address
8020 BRADLEY BLVD, BETHESDA, MD 20817-1908
(301) 580-6027

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RSA-02118
MD RESIDENTIAL SERVICE AGENCY LICENSE
MD
Enumeration date
03/25/2024
Last updated
08/06/2024
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