OrganizationActive
Imelda Anyaoha
NPI 1639554363 · Pediatric Skilled Nursing Facility · Upper Marlboro, MD
Provider details
- NPI number
- 1639554363
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Imelda Anyaoha, LPN(301) 773-4561
- License
- LP34473 (MD)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Respite Care Facility
Practice location
3208 Hunting Horn Ln
Upper Marlboro, MD 20774-7548
Phone: (301) 773-4561
Approximate (ZIP-level) locationGet directions
Mailing address
3208 Hunting Horn Ln
Springdale, MD 20774-7548
Registry dates
- Enumerated
- 2015-07-23
- Last updated
- 2015-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.