| Brighterlife Healthcare Services Inc | |
|
10903 Indian Head Hwy Ste 504 Ft Washington MD 20744-4012 | |
| (240) 493-4704 | |
| (301) 753-7003 |
| Full Name | Brighterlife Healthcare Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10903 Indian Head Hwy Ste 504, Ft Washington, Maryland |
| Authorized Official Name and Position | Ahaoma Rose Nnebedum (PRESIDENT) |
| Authorized Official Contact | 2404670628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighterlife Healthcare Services Inc 1904 Robert Bowie Dr Upper Marlboro MD 20774-5667 Ph: (240) 467-0628 | Brighterlife Healthcare Services Inc 10903 Indian Head Hwy Ste 504 Ft Washington MD 20744-4012 Ph: (240) 493-4704 |
| NPI Number | 1316546575 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Medicare PECOS PAC ID | 4587064969 |
|---|---|
| Medicare Enrollment ID | O20210608000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316546575 | NPI | - | NPPES |
| Provider Name | Ahaoma R Nnebedum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326491671 PECOS PAC ID: 6709213697 Enrollment ID: I20210608000817 |
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