Healthcare Provider Details

I. General information

NPI: 1942349386
Provider Name (Legal Business Name): MAYFLOWER CHOICE CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9418 ANNAPOLIS RD SUITE 106
LANHAM MD
20706-3023
US

IV. Provider business mailing address

9418 ANNAPOLIS RD SUITE 106
LANHAM MD
20706-3023
US

V. Phone/Fax

Practice location:
  • Phone: 301-552-3521
  • Fax: 301-552-2735
Mailing address:
  • Phone: 301-552-3521
  • Fax: 301-552-2735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberR2312
License Number StateMD

VIII. Authorized Official

Name: MS. GLORY MAJEKODUNMI
Title or Position: DIRECTOR
Credential: RN
Phone: 301-552-3521