Provider Demographics
NPI:1497585855
Name:AN EGG HEALTH CENTER INC
Entity type:Organization
Organization Name:AN EGG HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYNNJULIE
Authorized Official - Middle Name:AUGUSTINE
Authorized Official - Last Name:NKWABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-498-8094
Mailing Address - Street 1:1740 E JOPPA RD STE LL1
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3623
Mailing Address - Country:US
Mailing Address - Phone:202-498-8094
Mailing Address - Fax:
Practice Address - Street 1:1740 E JOPPA RD STE LL1
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-3623
Practice Address - Country:US
Practice Address - Phone:202-498-8094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health