Organization
IMELDA ANYAOHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMELDA CHIGOZIE ANYAOHA II (LPN)
(301) 773-4561
Entity
Organization
Contact information
Practice address
3208 HUNTING HORN LN, UPPER MARLBORO, MD 20774-7548
(301) 773-4561
Mailing address
3208 HUNTING HORN LN, SPRINGDALE, MD 20774-7548
(301) 773-4561
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
LP34473
MD
385H00000X
Respite Care
LP34473
MD
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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