Healthcare Provider Details

I. General information

NPI: 1760288328
Provider Name (Legal Business Name): LEGER LOVING CARE HEALTH AND NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13105 OLD FLETCHERTOWN RD
BOWIE MD
20720-4572
US

IV. Provider business mailing address

13105 OLD FLETCHERTOWN RD
BOWIE MD
20720-4572
US

V. Phone/Fax

Practice location:
  • Phone: 301-919-9851
  • Fax: 240-487-6682
Mailing address:
  • Phone: 301-919-9851
  • Fax: 240-487-6682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LOVE LEGER
Title or Position: OWNER
Credential: NP
Phone: 254-315-3594