Organization
AMAZING PEARL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YETUNDE SHETEOLU SHETEOLU (ADMINISTRATOR)
(240) 584-9454
Entity
Organization
Contact information
Practice address
1758 RICHFIELD DR, SEVERN, MD 21144-3025
(240) 584-9454
Mailing address
1758 RICHFIELD DR, SEVERN, MD 21144-3025
(240) 584-9454
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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