Provider Demographics
NPI:1245094325
Name:MAJESTY HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:MAJESTY HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIDEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:301-494-8135
Mailing Address - Street 1:9609 DYSON RD
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-7740
Mailing Address - Country:US
Mailing Address - Phone:301-494-8135
Mailing Address - Fax:
Practice Address - Street 1:9609 DYSON RD
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-7740
Practice Address - Country:US
Practice Address - Phone:301-494-8135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health