Provider Demographics
NPI:1710662572
Name:ELEGANTE BEE SERVICES LLC
Entity Type:Organization
Organization Name:ELEGANTE BEE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BUKOLA
Authorized Official - Middle Name:MORUFAT
Authorized Official - Last Name:ZUBAIR
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP-PMH
Authorized Official - Phone:240-633-9220
Mailing Address - Street 1:3600 LEONARDTOWN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3647
Mailing Address - Country:US
Mailing Address - Phone:240-633-9220
Mailing Address - Fax:
Practice Address - Street 1:3600 LEONARDTOWN RD STE 202
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-3647
Practice Address - Country:US
Practice Address - Phone:240-633-9220
Practice Address - Fax:240-635-9926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELEGANTE BEE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder