| Hope For Living Healthcare Llc | |
|
9906 Stall Ave Lanham MD 20706-2379 | |
| (513) 371-2802 | |
| Not Available |
| Full Name | Hope For Living Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9906 Stall Ave, Lanham, Maryland |
| Authorized Official Name and Position | Dieudonne Metombe (DIRECTOR) |
| Authorized Official Contact | 5133712802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope For Living Healthcare Llc 9906 Stall Ave Lanham MD 20706-2379 Ph: () - | Hope For Living Healthcare Llc 9906 Stall Ave Lanham MD 20706-2379 Ph: (513) 371-2802 |
| NPI Number | 1730813353 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 7810370004 |
|---|---|
| Medicare Enrollment ID | O20220822001191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730813353 | NPI | - | NPPES |
| Provider Name | Dieudonne Metombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457610263 PECOS PAC ID: 8729461918 Enrollment ID: I20220822002674 |
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