Organization · Type 2 NPI

Shabach Ministries Inc

Health Service Clinic/Center · Landover, MD

NPI number 1477100147 Active

Practice location

403 Brightseat Rd
Landover, MD 20785-4737

Call (301) 773-3600 Map

Mailing address

3600 Brightseat Rd
Landover, MD 20785-2414

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

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NPI record

NPI: 1477100147
Entity type: Organization (Type 2)
Issued: Aug 19, 2019
Last updated: Jan 17, 2020
Status: Active
Subpart: Yes of Shabach Ministries Inc

Other names

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Shabach Health Center · doing business as

Authorized official

Dr. Georgina Agyekum Manzano
Health Center Administrator
(301) 773-3600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477100147

Shabach Ministries Inc's National Provider Identifier is 1477100147, issued on Aug 19, 2019. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Landover, MD. The record was last updated on Jan 17, 2020.