Organization
MBI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RUTH EBANGHA TAMBE I (HOME HEALTH AID)
(240) 898-8768
Entity
Organization
Contact information
Practice address
4609 30TH ST, 4609, MOUNT RAINIER, MD 20712-1316
(240) 898-8768
Mailing address
4609 30TH STREET, 4609, MOUNT RAINIER, MD 20712
(240) 898-8768
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA11745
WA
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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