Organization
FAVOUS HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEYI OGUNJUYIGBE (ADMINISTRATOR)
(301) 357-5432
Entity
Organization
Contact information
Practice address
2909 EAGLES NEST DR, BOWIE, MD 20716-3905
(301) 357-5432
(301) 805-0634
Mailing address
2909 EAGLES NEST DR, BOWIE, MD 20716-3905
(301) 357-5432
(301) 805-0634
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2605
MD
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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