Provider Demographics
NPI:1033824586
Name:TRUE VILLAGE CARE
Entity Type:Organization
Organization Name:TRUE VILLAGE CARE
Other - Org Name:TVC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:ABASS
Authorized Official - Last Name:KARGBO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:240-481-4520
Mailing Address - Street 1:9322 SYDNEY WAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-2729
Mailing Address - Country:US
Mailing Address - Phone:240-481-4520
Mailing Address - Fax:
Practice Address - Street 1:9322 SYDNEY WAY
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-2729
Practice Address - Country:US
Practice Address - Phone:240-481-4520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty