Healthcare Provider Details

I. General information

NPI: 1861322778
Provider Name (Legal Business Name): CAROL LEE DEVOID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 NORTHWOODS BLVD
NORTH EAST MD
21901-2658
US

IV. Provider business mailing address

156 NORTHWOODS BLVD
NORTH EAST MD
21901-2658
US

V. Phone/Fax

Practice location:
  • Phone: 443-207-1900
  • Fax: 443-207-1900
Mailing address:
  • Phone: 443-207-1900
  • Fax: 443-207-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: