Organization
RENAISSANCE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE AHWOREGBA SAMONS RN, BSN (DON, CEO)
(240) 425-7428
Entity
Organization
Contact information
Practice address
1302 EDDINGTON DR, UPPER MARLBORO, MD 20774-1942
(240) 425-7428
(866) 531-6484
Mailing address
1302 EDDINGTON DR., UPPER MARLBORO, MD 20774-1942
(240) 425-7428
(866) 531-6484
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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