Provider Demographics
NPI:1033772389
Name:ALL JOSHUA, LLC
Entity Type:Organization
Organization Name:ALL JOSHUA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAWANYA
Authorized Official - Middle Name:TENE
Authorized Official - Last Name:JERRY
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:443-221-7447
Mailing Address - Street 1:5620 SAINT BARNABAS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3628
Mailing Address - Country:US
Mailing Address - Phone:240-253-2581
Mailing Address - Fax:
Practice Address - Street 1:5620 SAINT BARNABAS RD STE 200
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3628
Practice Address - Country:US
Practice Address - Phone:240-253-2581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility