Organization
POOL OF BETHESDA COMMUNITY SERVICES, INC.
Active
Parent organization
FAWEMA ENTERPRISES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAWEMA ENTERPRISES, INC.
Authorized official
MRS. SUSAN N KONNEH RN (PRESIDENT)
(301) 220-0628
Entity
Organization
Contact information
Practice address
5020 SUNNYSIDE AVE STE 104, BELTSVILLE, MD 20705-2307
(301) 220-0628
(301) 220-0629
Mailing address
5020 SUNNYSIDE AVE STE 104, BELTSVILLE, MD 20705-2307
(301) 220-0628
(301) 220-0629
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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