Healthcare Provider Details

I. General information

NPI: 1548720949
Provider Name (Legal Business Name): ALTRUISTIC NURSING AND CARING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 DUTCHESS CT
OLNEY MD
20832-1727
US

IV. Provider business mailing address

22 DUTCHESS CT
OLNEY MD
20832-1727
US

V. Phone/Fax

Practice location:
  • Phone: 301-740-0020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MR. MOHAED MAADAKIN KOROMA
Title or Position: ADMINISTRATOR
Credential: NP
Phone: 301-740-0020