MEDICARE: HEALTHIER LIVING AT HOME INC

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1972238434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHIER LIVING AT HOME INC

Provider Business Mailing Address
First Line	:	325 AHERN DR
Second Line	:
City	:	EDGEWOOD
State	:	MD
Zip	:	21040-3410
Country	:	US
Telephone Number	:	410-417-5297
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 AHERN DR
Second Line	:
City	:	EDGEWOOD
State	:	MD
Zip	:	21040-3410
Country	:	US
Telephone Number	:	410-417-5297
Fax Number	:

Authorized Official
Title or Position	:	CEO/RN
Name	:	JOSIE DANTZLER
Credential	:	NP
Telephone Number	:	410-417-5297

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	03/06/2026

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Directions to “HEALTHIER LIVING AT HOME INC ” Practice Location

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