MEDICARE: EMGLOHEALTH SERVICES 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
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1902442460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMGLOHEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	9861 DELLCASTLE RD
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-1324
Country	:	US
Telephone Number	:	240-678-8994
Fax Number	:

Provider Business Practice Location Address
First Line	:	9861 DELLCASTLE RD
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-1324
Country	:	US
Telephone Number	:	240-678-8994
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	EMMANUEL CHIDOBE NWANKWO
Credential	:	MSN
Telephone Number	:	240-678-8994

Provider Enumeration Date	:	11/20/2019
Last Update Date	:	11/20/2019

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Directions to “EMGLOHEALTH SERVICES LLC ” Practice Location

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