Organization Name: | FAWEMA NURSING CONTRACTOR, INC. |
NPI Number: | 1942507843 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN NYAHALAY KONNEH (PRESIDENT/DIRECTOR OF NURSING) |
Mailing Address: | 5020 Sunnyside Ave Suite 104 Beltsville |
State: | MD US |
Postal Code: | 207052307 |
Phone Number: | 3012200628 |
Fax Number: | 3012200629 |
NPI Enumeration Date: | 02/12/2011 |
NPI Last Update Date: | 02/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | R2947 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |