Organization
OUR EMMANUEL LNC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADAPO DANIEL ADEYALE (DIRECTOR)
(301) 699-3344
Entity
Organization
Contact information
Practice address
5639 ANNAPOLIS RD, BLADENSBURG, MD 20710-2212
(301) 699-3344
Mailing address
1411 H ST NE, WASHINGTON, DC 20002-5034
(301) 699-3344
(240) 487-6103
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/18/2017
Last updated
11/18/2017
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