Healthcare Provider Details

I. General information

NPI: 1962689356
Provider Name (Legal Business Name): DEPENDABLE NURSING SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6310 FAIR OAKS AVE
BALTIMORE MD
21214-1120
US

IV. Provider business mailing address

6310 FAIR OAKS AVE
BALTIMORE MD
21214-1120
US

V. Phone/Fax

Practice location:
  • Phone: 410-444-5500
  • Fax: 410-444-5378
Mailing address:
  • Phone: 410-444-5500
  • Fax: 410-444-5378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR2098
License Number StateMD

VIII. Authorized Official

Name: MRS. UGBOAKU EZINNA ESOCHAGHI
Title or Position: PRESIDENT
Credential:
Phone: 410-444-5500