Organization · NPI-2
Pink Heart Health Services & Academy LLC
Assisted Living Facility · Edgewater, MD
NPI number1962153387
StatusActive
Last updated in NPPESFeb 13, 2022
Details
- NPI
- 1962153387
- Entity type
- Organization (NPI-2)
- Legal business name
- Pink Heart Health Services & Academy LLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2022
- Certification date
- Feb 13, 2022
- Last updated
- Feb 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – |
Other names
- Cully'S Caring Cove (Doing Business As)
Practice location
1609 Cambridge RdEdgewater, MD 21037-1733
Phone 410-212-0392
Mailing address
1609 Cambridge RdEdgewater, MD 21037-1733
Phone 443-822-4439
Authorized official
Dominique Chantel Cully
Ceo
4438224439
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