8759 Contee Road Apt 404 Laurel MD 20708
Home Health in Laurel, MD. Organization (NPI-2).
NPI number1235587817
StatusActive
Last updated in NPPESMay 24, 2016
Details
- NPI
- 1235587817
- Entity type
- Organization (NPI-2)
- Legal business name
- 8759 Contee Road Apt 404 Laurel MD 20708
- Organization subpart
- No
- Enumeration date
- May 24, 2016
- Last updated
- May 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HHA12114 | DC | Yes |
Other names
- 7009 Woodstream Ter Lanham MD 20706 (Other Name)
Practice location
8759 Contee Rd Apt 404Laurel, MD 20708-1927
Phone 240-667-6347
Mailing address
8759 Contee Rd Apt 404Laurel, MD 20708-1927
Phone 240-667-6347
Authorized official
Marie Lum
Hha
2406676347
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