Healthcare Provider Details

I. General information

NPI: 1457278434
Provider Name (Legal Business Name): GUDMANN HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 KINGSWELL ST
BOWIE MD
20721-1952
US

IV. Provider business mailing address

12200 KINGSWELL ST
BOWIE MD
20721-1952
US

V. Phone/Fax

Practice location:
  • Phone: 240-421-7694
  • Fax:
Mailing address:
  • Phone: 240-421-7694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FRANKLIN CHIDI ODUKWU
Title or Position: ADMINISTRATOR
Credential:
Phone: 240-421-7694