Healthcare Provider Details

I. General information

NPI: 1346603354
Provider Name (Legal Business Name): SBEST CHOICE COMMUNITY HEALTH AND HOME SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 03/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6804 WILLOW CREEK RD
BOWIE MD
20720-3327
US

IV. Provider business mailing address

6804 WILLOW CREEK RD
BOWIE MD
20720-3327
US

V. Phone/Fax

Practice location:
  • Phone: 240-478-4659
  • Fax: 186-642-5138
Mailing address:
  • Phone: 240-478-4659
  • Fax: 186-642-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. NNENNA UZO OGWO
Title or Position: PRESIDENT
Credential:
Phone: 240-478-4659