Organization
ALTA HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH DIBONGE (ADMINISTRATOR)
(301) 540-8230
Entity
Organization
Contact information
Practice address
101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877-2633
(240) 801-9818
(240) 801-9819
Mailing address
101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877-2633
(240) 801-9818
(240) 801-9819
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
10/03/2023
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