Kimbrough Ambulatory Care Center
NPI #1679622658 in Fort George G Meade, Maryland
Provider Information
- NPI Number
- 1679622658
- Entity Type
- Organization
- Organization Name
- Kimbrough Ambulatory Care Center
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2480 LLEWELLYN AVE
- State
- Maryland
- ZIP Code
- 20755-5800
- Phone
- (301) 677-8771
Authorized Official
- Name
- MRS. TAMMIE F CONAWAY-MANSON, LPN
- Title
- LPM
- Phone
- (301) 677-8771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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