Healthcare Provider Details

I. General information

NPI: 1376223941
Provider Name (Legal Business Name): ESTHER'S HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6638 DALTON DR
BALTIMORE MD
21207-6440
US

IV. Provider business mailing address

6638 DALTON DR
BALTIMORE MD
21207-6440
US

V. Phone/Fax

Practice location:
  • Phone: 443-522-1535
  • Fax:
Mailing address:
  • Phone: 443-522-1535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTHERLYN ISAAC
Title or Position: BOSS
Credential: MD
Phone: 443-522-1535