Organization
PBJ HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA BIH JUA BSN RN (CEO)
(301) 370-8049
Entity
Organization
Contact information
Practice address
2205 16TH ST SE, WASHINGTON, DC 20020-4333
(240) 425-2245
Mailing address
2205 16TH ST SE, WASHINGTON, DC 20020-4333
(240) 425-2245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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