Provider Demographics
NPI:1609005255
Name:GEORGE S.MWASALWIBA/MT.ZION NURSING STAFFING AGENCY
Entity Type:Organization
Organization Name:GEORGE S.MWASALWIBA/MT.ZION NURSING STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:SAMWEL
Authorized Official - Last Name:MWASALWIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-821-2043
Mailing Address - Street 1:6495 NEW HAMPSHIRE AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-6206
Mailing Address - Country:US
Mailing Address - Phone:301-270-2191
Mailing Address - Fax:
Practice Address - Street 1:6480 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4716
Practice Address - Country:US
Practice Address - Phone:301-270-2191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-03
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA-0133251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care