Organization · NPI-2

International Development Enterprise

Nursing Care · Annapolis, MD

NPI number1457965469
StatusActive
Last updated in NPPESSep 8, 2020

Details

NPI
1457965469
Entity type
Organization (NPI-2)
Legal business name
International Development Enterprise
Organization subpart
No
Enumeration date
Sep 8, 2020
Certification date
Sep 3, 2020
Last updated
Sep 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care––Yes

Other names

  • Ide Health Services (Doing Business As)

Practice location

1125 West St Ste 434
Annapolis, MD 21401-4198

Phone 301-281-7606

Mailing address

1125 West St Ste 434
Annapolis, MD 21401-4198

Phone 301-281-7606

Authorized official

Ta Shawn Jennetta Couser
Operations Manager
3012817606

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