Organization
MLB CARE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAC BANGOURA (CEO)
(202) 744-8132
Entity
Organization
Contact information
Practice address
950 N WASHINGTON ST # 353, ALEXANDRIA, VA 22314-1534
(202) 316-1259
Mailing address
950 N WASHINGTON ST # 353, ALEXANDRIA, VA 22314-1534
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
04/09/2024
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