MEDICARE: UGIRL 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
1	261QR0800X	Recovery Care Clinic/Center

General Provider Information

NPI Number	:	1932811098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UGIRL LLC

Provider Business Mailing Address
First Line	:	5211 AUTH RD STE 202B
Second Line	:
City	:	SUITLAND
State	:	MD
Zip	:	20746-4658
Country	:	US
Telephone Number	:	202-719-6119
Fax Number	:

Provider Business Practice Location Address
First Line	:	5211 AUTH RD STE 305306
Second Line	:
City	:	SUITLAND
State	:	MD
Zip	:	20746-4339
Country	:	US
Telephone Number	:	202-719-6119
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	KINIESHA L ABRAHAM
Credential	:
Telephone Number	:	202-719-6119

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	10/30/2025

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Directions to “UGIRL LLC ” Practice Location

Language	Start Address	Practice Location

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