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NPI Code Detail

MEDICARE: TEMARA HEALTHCARE LLC

MEDICARE: TEMARA HEALTHCARE LLC
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
1314000000XSkilled Nursing Facility
2372600000XAdult Companion
3374U00000XHome Health Aide

General Provider Information

NPI Number : 1770247876
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEMARA HEALTHCARE LLC
Provider Business Mailing Address
First Line : 9103 MIDLAND TURN
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-5315
Country : US
Telephone Number : 240-918-7744
Fax Number :
Provider Business Practice Location Address
First Line : 9103 MIDLAND TURN
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-5315
Country : US
Telephone Number : 240-918-7744
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : RUKAYAT A ADEBESHIN
Credential :
Telephone Number : 240-918-7744
Provider Enumeration Date : 10/25/2021
Last Update Date : 10/25/2021

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Directions to “TEMARA HEALTHCARE LLC ” Practice Location

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