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General NPI Number Information
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NPI Number | 1508997495
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Entity Type | Organization
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Legal Business Name | MISS INC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 5000 SUNNYSIDE AVE SUITE 303
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City | BELTSVILLE
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State | MD
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Zip | 20705-2327
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Country | US
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Telephone | 301-931-3235
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Fax | 301-931-3236
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Provider Business Mailing Address
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Address Line | 5000 SUNNYSIDE AVE SUITE 303
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City | BELTSVILLE
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State | MD
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Zip | 20705-2327
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Country | US
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Telephone | 301-931-3235
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Fax | 301-931-3236
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. IFEOMA F ONYIA
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Credential |
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Telephone | 301-931-3235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-07337
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License Number State | VA
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