Whalio Doctors

NPI 1417195702

Aegis Healthcare Holdings, INC

Organisation Mental Illness Intermediate Care Facility Upper Marlboro, MD

Practice location

Address
1705 Cinnamon Teal Way, Upper Marlboro, MD 20774-4003
Phone
(410) 499-4966
Mailing address
1655 Fort Myer Dr Suite 700, Arlington, VA 22209-3113

Authorised official

Name
Austin Ifedirah
Title
President/Ceo
Phone
(410) 499-4966

Registered specialties (8)

Mental Illness Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310500000X
Home Health Agency
Agencies Taxonomy 251E00000X
Home Infusion Agency
Agencies Taxonomy 251F00000X
Community Based Hospice Care Agency
Agencies Taxonomy 251G00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X
Intellectual Disabilities Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 315P00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X

Registry record

NPI
1417195702
Entity type
Organization
NPI issued
26 Jan 2009
Record last updated
4 May 2009

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.