Individual provider · Type 1 NPI
Badjowa Nyan
Assisted Living Facility · Largo, MD
NPI number
1699166546
Active
Practice location
10703 Pookey Way
Largo, MD 20774-6046
Fax (240) 510-3338
Mailing address
1206 Northern Lights Dr
Upper Marlboro, MD 20774-6049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 16AL1095-8 (MD) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1699166546
Badjowa Nyan's National Provider Identifier is 1699166546, issued on Feb 13, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Largo, MD. The record was last updated on Feb 13, 2015.