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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