Provider Demographics
NPI:1942349386
Name:MAYFLOWER CHOICE CARE INC.
Entity Type:Organization
Organization Name:MAYFLOWER CHOICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJEKODUNMI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-552-3521
Mailing Address - Street 1:9418 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3023
Mailing Address - Country:US
Mailing Address - Phone:301-552-3521
Mailing Address - Fax:301-552-2735
Practice Address - Street 1:9418 ANNAPOLIS RD
Practice Address - Street 2:SUITE 106
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3023
Practice Address - Country:US
Practice Address - Phone:301-552-3521
Practice Address - Fax:301-552-2735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2312314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408182000Medicaid