<Unavail>

LBN: 6812 Mccormick Rd. Upper Marlboro Md. 20772
<Unavail> is an health care organization with primary practice located at 6812 Mccormick Rd , Upper Marlboro MD 20772-4351. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. 6812 Mccormick Rd. Upper Marlboro Md. 20772 can be contacted via phone (240) 274-4794, or through Tufuor, Fidelia Yaa via phone (240) 274-4794.

Contact Information

Primary practice address
6812 Mccormick Rd Upper Marlboro MD 20772-4351
Phone: (240) 274-4794
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tufuor, Fidelia Yaa
Phone: (240) 274-4794

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X R3967 Maryland

Profile Details

NPI number 1326588112
LBN Legal business name 6812 Mccormick Rd. Upper Marlboro Md. 20772
DBA Doing business as <Unavail>
Authorized official Tufuor, Fidelia Yaa
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 28th, 2017
Last updated Feb 28th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326588112 NPPES
Maryland MEDICAID 53001440-00

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