Provider Demographics
NPI:1043657794
Name:VERIGREEN INC
Entity Type:Organization
Organization Name:VERIGREEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOJISOLA
Authorized Official - Middle Name:ABIODUN
Authorized Official - Last Name:MAKINDE
Authorized Official - Suffix:
Authorized Official - Credentials:3013771132
Authorized Official - Phone:301-377-1132
Mailing Address - Street 1:6492 LANDOVER RD
Mailing Address - Street 2:SUITE B4
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1451
Mailing Address - Country:US
Mailing Address - Phone:301-377-1132
Mailing Address - Fax:202-241-3657
Practice Address - Street 1:6492 LANDOVER RD
Practice Address - Street 2:SUITE B4
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1451
Practice Address - Country:US
Practice Address - Phone:301-377-1132
Practice Address - Fax:202-241-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3414251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health