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General NPI Number Information
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NPI Number | 1164568978
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Entity Type | Organization
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Legal Business Name | ASSURANCE HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 12301 OLD COLUMBIA PIKE STE 305
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City | SILVER SPRING
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State | MD
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Zip | 20904-1730
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Country | US
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Telephone | 301-422-2273
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Fax | 301-422-4104
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Provider Business Mailing Address
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Address Line | 12301 OLD COLUMBIA PIKE STE 305
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City | SILVER SPRING
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State | MD
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Zip | 20904-1730
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Country | US
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Telephone | 301-422-2273
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Fax | 301-422-4104
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Authorized Official
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Title or Position | CHIEF EXECITIVE OFFICER
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Name | MRS. LOIS E BULLARD
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Credential | R.N.
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Telephone | 301-422-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R1064
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License Number State | MD
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