Healthcare Provider Details

I. General information

NPI: 1669689006
Provider Name (Legal Business Name): HOME HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 MOUNT WILSON LN
BALTIMORE MD
21208-1105
US

IV. Provider business mailing address

725 MOUNT WILSON LN
BALTIMORE MD
21208-1105
US

V. Phone/Fax

Practice location:
  • Phone: 561-272-5866
  • Fax:
Mailing address:
  • Phone: 561-272-5866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY J HARRISON
Title or Position: SENIOR VP
Credential:
Phone: 561-272-5866