Healthcare Provider Details

I. General information

NPI: 1760210033
Provider Name (Legal Business Name): TOP CHOICE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 BALLSTON CT
BOWIE MD
20721-3281
US

IV. Provider business mailing address

2600 BALLSTON CT
BOWIE MD
20721-3281
US

V. Phone/Fax

Practice location:
  • Phone: 301-256-1546
  • Fax:
Mailing address:
  • Phone: 301-256-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ABIOLA FAITH MUMUNI-ABASS
Title or Position: NURSE PRACTITIONER
Credential: DNP
Phone: 301-256-1546