Organization
BOSS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY GIBSON CRNP (CEO/MANAGER)
(301) 988-7822
Entity
Organization
Contact information
Practice address
10627 CRYSTAL FALLS DR, HAGERSTOWN, MD 21742-9732
(301) 988-7822
(539) 800-2158
Mailing address
10627 CRYSTAL FALLS DR, HAGERSTOWN, MD 21742-9732
(301) 988-7822
(539) 800-2158
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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