Organization
DALA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMABEL AWA NP (CEO)
(240) 604-2335
Entity
Organization
Contact information
Practice address
2907 LAKE FOREST DR, UPPER MARLBORO, MD 20774-8972
(240) 604-2335
Mailing address
2907 LAKE FOREST DR, UPPER MARLBORO, MD 20774-8972
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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