MEDICARE: DASSHH, 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
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1932966397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DASSHH, LLC

Provider Business Mailing Address
First Line	:	3817 EDMONDSON AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21229-2941
Country	:	US
Telephone Number	:	857-327-7442
Fax Number	:

Provider Business Practice Location Address
First Line	:	3817 EDMONDSON AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21229-2941
Country	:	US
Telephone Number	:	857-327-7442
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	SHEILA THOMAS
Credential	:
Telephone Number	:	857-327-7442

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	08/14/2024

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Directions to “DASSHH, LLC ” Practice Location

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