Impact Life Corporation

NPI #1578226460 in Riverdale, Maryland

Provider Information

NPI Number: 1578226460
Entity Type: Organization
Organization Name: Impact Life Corporation
Primary Specialty: Home Health
Enumeration Date: Oct 18, 2021
Last Updated: Oct 18, 2021

Practice Location

Address: 6801 KENILWORTH AVE STE 300-S13
City: Riverdale
State: Maryland
ZIP Code: 20737-1331
Phone: (301) 792-1469

Authorized Official

Name: MISS OLUFUNMI JOHNSON, PROVIDER
Title: OWNER
Phone: (301) 792-1469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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