Healthcare Provider Details

I. General information

NPI: 1912555863
Provider Name (Legal Business Name): THE DEUS GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 BUSH ST STE P
BALTIMORE MD
21230-1939
US

IV. Provider business mailing address

5317 GWYNN OAK AVE
BALTIMORE MD
21207-8202
US

V. Phone/Fax

Practice location:
  • Phone: 410-336-4215
  • Fax:
Mailing address:
  • Phone: 410-336-4215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD PARKER
Title or Position: PRESIDENT
Credential:
Phone: 410-336-4215