Healthcare Provider Details

I. General information

NPI: 1962505917
Provider Name (Legal Business Name): INTELECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17810 MEETING HOUSE RD SUITE 210
SANDY SPRING MD
20860-1038
US

IV. Provider business mailing address

17810 MEETING HOUSE RD SUITE 210
SANDY SPRING MD
20860-1038
US

V. Phone/Fax

Practice location:
  • Phone: 301-570-2929
  • Fax: 301-570-2935
Mailing address:
  • Phone: 301-570-2929
  • Fax: 301-570-2935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XC2901X
TaxonomyCardiovascular Invasive Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MS. DOROTHY D DANCE
Title or Position: CEO
Credential:
Phone: 301-570-2929