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Organization

XTRA MILES NURSING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. OMOLARA ARIBISALA (OWNER/ PRESIDENT)
(240) 370-7509
Entity
Organization

Contact information

Practice address
3819 GAWAYNE TER, SILVER SPRING, MD 20906-2656
(240) 370-7509
(240) 363-8106
Mailing address
3819 GAWAYNE TER, SILVER SPRING, MD 20906-2656
(240) 370-7509
(240) 363-8106

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
364SH0200X
Home Health Clinical Nurse Specialist

Other

Enumeration date
04/26/2023
Last updated
04/26/2023
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