Organization
SALPHA HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIMUNATU BANGURA NURSE PRACTITIONER (CEO)
(202) 313-7696
Entity
Organization
Contact information
Practice address
1775 I ST NW STE 1150, WASHINGTON, DC 20006-2435
(202) 313-7696
(202) 587-5601
Mailing address
1775 I ST NW STE 1150, WASHINGTON, DC 20006-2435
(202) 313-7696
(202) 587-5601
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
MD
Enumeration date
07/17/2020
Last updated
07/17/2020
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