IMMACULATE HEALTH CARE SERVICES; NPI #1487020038

Contact Information

IMMACULATE HEALTH CARE SERVICES

6824 BARTON RD
HYATTSVILLE, MD 20784-2514

Phone: 202-716-6087
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Care	251J00000X

Indicates primary specialty

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NPI Profile & details for IMMACULATE HEALTH CARE SERVICES

NPI Number 1487020038

LBN Legal business name IMMACULATE HEALTH CARE SERVICES

Authorized official ROSEMARY OSUAGWU - (SUPERVISOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/18/2015

Last updated 08/18/2015 - About 11 years ago

Identifiers

License #

1200238628822

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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