Healthcare Provider Details

I. General information

NPI: 1154238178
Provider Name (Legal Business Name): PIECE BY PIECE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 NOTTOWAY DR
HANOVER MD
21076-1095
US

IV. Provider business mailing address

2112 NOTTOWAY DR
HANOVER MD
21076-1095
US

V. Phone/Fax

Practice location:
  • Phone: 240-990-9777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HOPE LAW-HEBRON
Title or Position: SOLE MBR
Credential:
Phone: 240-990-9777