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NPI Code Detail

MEDICARE: SUPERIOR IN HOME CARE, LLC

MEDICARE: SUPERIOR IN HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1437824240
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPERIOR IN HOME CARE, LLC
Provider Business Mailing Address
First Line : 7 CHURCH LN STE 8
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-3717
Country : US
Telephone Number : 410-541-0182
Fax Number : 410-504-5554
Provider Business Practice Location Address
First Line : 7 CHURCH LN STE 8
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-3717
Country : US
Telephone Number : 410-541-0182
Fax Number : 410-504-5554
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. KEYSHA RACHEL HARRISON
Credential :
Telephone Number : 410-541-0182
Provider Enumeration Date : 08/13/2021
Last Update Date : 08/13/2021

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Directions to “SUPERIOR IN HOME CARE, LLC ” Practice Location

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