Healthcare Provider Details

I. General information

NPI: 1609397363
Provider Name (Legal Business Name): SECOND FAMILY NURSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 FORBES BLVD STE 415
LANHAM MD
20706-4359
US

IV. Provider business mailing address

14021 LANCASTER LN
BOWIE MD
20715-1701
US

V. Phone/Fax

Practice location:
  • Phone: 301-925-9271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMD

VIII. Authorized Official

Name: MR. JOSEPH LABULE
Title or Position: ADMINISTRATOR
Credential:
Phone: 240-882-1168