Provider Demographics
NPI:1528472362
Name:BILEM HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:BILEM HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORY
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-899-6083
Mailing Address - Street 1:3022 JAVIER RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:703-942-8161
Mailing Address - Fax:
Practice Address - Street 1:3022 JAVIER RD
Practice Address - Street 2:SUITE 124
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-942-8161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health