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NPI Code Detail

MEDICARE: HEALTHY LIVING CARE SERVICES

MEDICARE: HEALTHY LIVING CARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1043904501
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY LIVING CARE SERVICES
Provider Business Mailing Address
First Line : 3511 ELLEN CT
Second Line :
City : BOWIE
State : MD
Zip : 20716-1273
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7404 EXECUTIVE PL STE 400
Second Line :
City : LANHAM
State : MD
Zip : 20706-6228
Country : US
Telephone Number : 240-795-0149
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SCHOLARSTICA OSUAGWU
Credential :
Telephone Number : 240-795-0149
Provider Enumeration Date : 06/07/2023
Last Update Date : 06/07/2023

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Directions to “HEALTHY LIVING CARE SERVICES ” Practice Location

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