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NPI Code Detail

MEDICARE: NMS HEALTHCARE OF HYATTSVILLE LLC

MEDICARE: NMS HEALTHCARE OF HYATTSVILLE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1295913804
Entity Type Code : Organization
Provider Name (Legal Business Name) : NMS HEALTHCARE OF HYATTSVILLE LLC
Provider Business Mailing Address
First Line : 4922 LASALLE RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-3302
Country : US
Telephone Number : 301-864-2333
Fax Number : 301-864-1377
Provider Business Practice Location Address
First Line : 4922 LASALLE RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-3302
Country : US
Telephone Number : 301-864-2333
Fax Number : 301-864-1377
Authorized Official
Title or Position : CFO
Name : MR. JOSEPH AMIN NASRAWY
Credential :
Telephone Number : 301-864-2333
Provider Enumeration Date : 02/06/2008
Last Update Date : 02/06/2008

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Directions to “NMS HEALTHCARE OF HYATTSVILLE LLC ” Practice Location

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