Healthcare Provider Details

I. General information

NPI: 1902248958
Provider Name (Legal Business Name): BUPREL HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7937 ASHFORD BLVD
LAUREL MD
20707-5894
US

IV. Provider business mailing address

7937 ASHFORD BLVD
LAUREL MD
20707-5894
US

V. Phone/Fax

Practice location:
  • Phone: 301-256-5842
  • Fax:
Mailing address:
  • Phone: 301-256-5842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR3439P
License Number StateMD

VIII. Authorized Official

Name: MS. OLUBUNMI OLUGBEMI
Title or Position: ADMINISTRATOR
Credential:
Phone: 301-256-5842