Provider Demographics
NPI:1124564539
Name:HOME HEALTH AND DISEASE MANAGEMENT LLC
Entity Type:Organization
Organization Name:HOME HEALTH AND DISEASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROKHAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MBAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-377-3168
Mailing Address - Street 1:13103 CONTEE MANOR RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3299
Mailing Address - Country:US
Mailing Address - Phone:301-377-3168
Mailing Address - Fax:
Practice Address - Street 1:13103 CONTEE MANOR RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-3299
Practice Address - Country:US
Practice Address - Phone:301-377-3168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health