IndividualActive
Badjowa Nyan
NPI 1699166546 · Assisted Living Facility · Largo, MD
Provider details
- NPI number
- 1699166546
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16AL1095-8 (MD)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
10703 Pookey Way
Largo, MD 20774-6046
Phone: (301) 237-5384
Fax: (240) 510-3338
Approximate (ZIP-level) locationGet directions
Mailing address
1206 Northern Lights Dr
Upper Marlboro, MD 20774-6049
Registry dates
- Enumerated
- 2015-02-13
- Last updated
- 2015-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.