OrganizationActive
Aegis Healthcare Holdings, Inc
NPI 1417195702 · Mental Illness Intermediate Care Facility · Upper Marlboro, MD
Provider details
- NPI number
- 1417195702
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Austin Ifedirah, President/Ceo
Practice location
1705 Cinnamon Teal Way
Upper Marlboro, MD 20774-4003
Phone: (410) 499-4966
Mailing address
1655 Fort Myer Dr
Arlington, VA 22209-3113
Registry dates
- Enumerated
- 2009-01-26
- Last updated
- 2009-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.