Organization
ASSISTIC CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABAYOMI VAUGHAN BSN, RN (CEO)
(240) 413-4355
Entity
Organization
Contact information
Practice address
10117 TULIP TREE DR, BOWIE, MD 20721-3715
(240) 413-4355
Mailing address
10117 TULIP TREE DR, BOWIE, MD 20721-3715
(240) 413-4355
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R180802
DOH BOARD OF NURSING
DC
Enumeration date
06/20/2019
Last updated
06/20/2019
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