Organization
INCANI HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGWOBIA C IDIKA (ADMINISTRATOR)
(202) 702-6789
Entity
Organization
Contact information
Practice address
1316 MINNESOTA WAY, UPPER MARLBORO, MD 20774-6060
(202) 256-4940
Mailing address
1316 MINNESOTA WAY, UPPER MARLBORO, MD 20774-6060
(202) 256-4940
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
01/16/2023
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