Healthcare Provider Details

I. General information

NPI: 1811278443
Provider Name (Legal Business Name): TEAM 3 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 09/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9075 GUILFORD RD
COLUMBIA MD
21046-3145
US

IV. Provider business mailing address

9075 GUILFORD RD
COLUMBIA MD
21046-3145
US

V. Phone/Fax

Practice location:
  • Phone: 443-276-3088
  • Fax: 443-276-3095
Mailing address:
  • Phone: 443-276-3088
  • Fax: 443-276-3095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateMD

VIII. Authorized Official

Name: MR. ERIC RAKHAMIMOV
Title or Position: PRESIDENT
Credential:
Phone: 443-220-5356