Healthcare Provider Details

I. General information

NPI: 1104506641
Provider Name (Legal Business Name): RMDS HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 GAMBIER DR
UPPER MARLBORO MD
20772-4414
US

IV. Provider business mailing address

7601 GAMBIER DR
UPPER MARLBORO MD
20772-4414
US

V. Phone/Fax

Practice location:
  • Phone: 929-732-9136
  • Fax:
Mailing address:
  • Phone: 929-732-9136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FATIMOH BOLARINWA
Title or Position: OWNER
Credential:
Phone: 929-732-9136