Organization
NOVENA HEALTHCARE SERVICES LLC
Active
Organization
NOVENA HEALTHCARE SERVICES LLC
Active
Other names
Novena Homecare Services
Organization subpart
No
Provider details
NPI number
Authorized official
IFEANYI TED PHILLIPS MBA (PRESIDENT/CEO)
(301) 806-8952
Entity
Organization
Contact information
Practice address
8235 LYNDHURST ST, LAUREL, MD 20724-1909
(301) 806-8952
Mailing address
8235 LYNDHURST ST, LAUREL, MD 20724-1909
(301) 806-8952
(301) 794-4420
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
1007008
MD
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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