1st Agile Homecare LLC
Home Health in Silver Spring, MD. Organization (NPI-2).
NPI number1154969590
StatusActive
Last updated in NPPESDec 17, 2019
Details
- NPI
- 1154969590
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Agile Homecare LLC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2019
- Certification date
- Dec 17, 2019
- Last updated
- Dec 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
10911 Pebble Run DrSilver Spring, MD 20902-3685
Phone 301-802-2685
Mailing address
10911 Pebble Run DrSilver Spring, MD 20902-3685
Phone 301-802-2685
Authorized official
Rouguiatou Bah
Owner
3018022685
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