Healthcare Provider Details

I. General information

NPI: 1568976066
Provider Name (Legal Business Name): ABREAST HEALTH MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2017
Last Update Date: 11/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 ANNAPOLIS RD STE 100
LANHAM MD
20706-3058
US

IV. Provider business mailing address

9420 ANNAPOLIS RD STE 100
LANHAM MD
20706-3058
US

V. Phone/Fax

Practice location:
  • Phone: 240-779-3676
  • Fax: 240-825-3896
Mailing address:
  • Phone: 240-779-3676
  • Fax: 240-825-3896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ABAYOMI SOKOYA
Title or Position: COO
Credential:
Phone: 240-779-3767