Healthcare Provider Details

I. General information

NPI: 1043032626
Provider Name (Legal Business Name): MORNING STARS HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9332 ANNAPOLIS RD STE 102
LANHAM MD
20706-3164
US

IV. Provider business mailing address

9332 ANNAPOLIS RD STE 102
LANHAM MD
20706-3164
US

V. Phone/Fax

Practice location:
  • Phone: 301-793-3362
  • Fax:
Mailing address:
  • Phone: 301-793-3362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE ADEOYE
Title or Position: PROVIDER
Credential:
Phone: 301-793-3362