Healthcare Provider Details

I. General information

NPI: 1467688051
Provider Name (Legal Business Name): TOTAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 06/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 VALLEY FORGE WAY
ABINGDON MD
21009-2706
US

IV. Provider business mailing address

1432 VALLEY FORGE WAY
ABINGDON MD
21009-2706
US

V. Phone/Fax

Practice location:
  • Phone: 410-599-7400
  • Fax:
Mailing address:
  • Phone: 410-599-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. LEONARD FRANCIS STIELPER III
Title or Position: VP/CFO
Credential:
Phone: 410-599-7400