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Active Home INC

In Home Supportive Care in Rockville, MD. Organization (NPI-2).

NPI number1114672797
StatusActive
Last updated in NPPESFeb 13, 2022

Details

NPI
1114672797
Entity type
Organization (NPI-2)
Legal business name
Active Home INC
Organization subpart
No
Enumeration date
Feb 13, 2022
Certification date
Feb 13, 2022
Last updated
Feb 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

1700 Rockville Pike Ste 422
Rockville, MD 20852-1631

Phone 240-542-4240

Mailing address

1700 Rockville Pike Ste 422
Rockville, MD 20852-1631

Phone 240-542-4240

Authorized official

Robby Kikaro
Operations Director
2405424240

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