NPI 1093569402

Beulah Spring Assisted Living LLC

Organisation Assisted Living Facility Upper Marlboro, MD

Practice location

Address: 13908 Edsall St, Upper Marlboro, MD 20772-6849
Phone: (240) 602-7099

Authorised official

Name: Regina Oton Ekong
Title: Owner
Phone: (240) 602-7099

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1093569402
Entity type: Organization
NPI issued: 12 Apr 2024
Record last updated: 12 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.