| Angel Loving Care 1 Inc | |
|
7375 Executive Pl Ste 401 Lanham MD 20706-6232 | |
| (301) 937-0188 | |
| (240) 260-3538 |
| Full Name | Angel Loving Care 1 Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7375 Executive Pl Ste 401, Lanham, Maryland |
| Authorized Official Name and Position | Fatiatu Jobi (CEO) |
| Authorized Official Contact | 3019370188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Loving Care 1 Inc 7375 Executive Pl Ste 401 Lanham MD 20706-6232 Ph: (301) 937-0188 | Angel Loving Care 1 Inc 7375 Executive Pl Ste 401 Lanham MD 20706-6232 Ph: (301) 937-0188 |
| NPI Number | 1194477844 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Medicare PECOS PAC ID | 7911390448 |
|---|---|
| Medicare Enrollment ID | O20220207000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194477844 | NPI | - | NPPES |
| Provider Name | Florence Nguh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093258998 PECOS PAC ID: 4486926565 Enrollment ID: I20191212003018 |
| Provider Name | Olivia Nguh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336409374 PECOS PAC ID: 9032549738 Enrollment ID: I20200421000801 |
| Provider Name | Nicholas E Tindong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386637098 PECOS PAC ID: 8426414939 Enrollment ID: I20230525000029 |
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