NPI | 1831902915 |
---|---|
Former Legal Business Name | ST. AUGUSTIN HEALTHCARE SERVICES L.L.C |
Entity Type | Organization |
Authorized Contact | BASIL TEGHEN NDUM Manager 240-872-6598 |
Organization Subpart ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
Enumeration Date | 2025-01-31 |
Last Update Date | 2025-01-31 |