OrganizationActive
Beulah Spring Assisted Living LLC
NPI 1093569402 · Assisted Living Facility · Upper Marlboro, MD
Provider details
- NPI number
- 1093569402
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Regina Ekong, Owner(240) 602-7099
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
13908 Edsall St
Upper Marlboro, MD 20772-6849
Phone: (240) 602-7099
Approximate (ZIP-level) locationGet directions
Mailing address
13908 Edsall St
Upper Marlboro, MD 20772-6849
Registry dates
- Enumerated
- 2024-04-12
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.