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General NPI Number Information
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NPI Number | 1659779197
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Entity Type | Organization
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Legal Business Name | STAY HOME SENIOR SERVICES OF MARYLAND, INC.
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 16731 LONGSTREET DR
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City | WILLIAMSPORT
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State | MD
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Zip | 21795-1414
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Country | US
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Telephone | 301-739-2273
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Fax | 301-733-9663
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Provider Business Mailing Address
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Address Line | 16731 LONGSTREET DR
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City | WILLIAMSPORT
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State | MD
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Zip | 21795-1414
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Country | US
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Telephone | 17-392-2733
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Fax | 301-733-9663
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Authorized Official
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Title or Position | CEO
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Name | LOUANN HAW
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Credential |
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Telephone | 301-739-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 090702
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License Number State | MD
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