Provider Demographics
NPI:1598213936
Name:SUITA HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:SUITA HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:POAWUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-413-6420
Mailing Address - Street 1:4517 SELLMAN ROAD
Mailing Address - Street 2:SUIT G
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705
Mailing Address - Country:US
Mailing Address - Phone:240-413-6420
Mailing Address - Fax:
Practice Address - Street 1:4517 SELLMAN ROAD
Practice Address - Street 2:SUIT G
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705
Practice Address - Country:US
Practice Address - Phone:240-413-6420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health