Provider Demographics
NPI:1245017607
Name:AMD HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:AMD HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEKUNLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:OLOGERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-855-8411
Mailing Address - Street 1:33 W FRANKLIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-4826
Mailing Address - Country:US
Mailing Address - Phone:202-855-8411
Mailing Address - Fax:301-329-3755
Practice Address - Street 1:11720 BELTSVILLE DR STE 500-A10
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3166
Practice Address - Country:US
Practice Address - Phone:301-732-2513
Practice Address - Fax:301-329-3755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care