Organization
KOINONIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRI JILLA LONGTCHI RN, BSN (DIRECTOR OF NURSING)
(240) 764-7217
Entity
Organization
Contact information
Practice address
5601 MARY A CT, BLADENSBURG, MD 20710-1650
(240) 764-7217
(240) 764-7218
Mailing address
5601 MARY A CT, BLADENSBURG, MD 20710-1650
(240) 764-7217
(240) 764-7218
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2610
MD
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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