Organization
IMPRUVON INC.
Active
Organization
IMPRUVON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN AMOYAL (CEO)
(410) 818-7272
Entity
Organization
Contact information
Practice address
2101 E BIDDLE ST, BALTIMORE, MD 21213-3307
(410) 818-7272
Mailing address
10900 UNIVERSITY BOULEVARD, KATHERINE G. JOHNSON HALL, SUITE 147, MANASSAS, VA 20110
(410) 818-7272
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
12/15/2021
Last updated
07/12/2024
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