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General NPI Number Information
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NPI Number | 1700727823
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Entity Type | Organization
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Legal Business Name | SAINT GABRIEL HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 11402 COVERED BRIDGE CT
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City | GLENN DALE
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State | MD
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Zip | 20769-9130
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Country | US
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Telephone | 301-814-0037
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Fax | 877-408-0066
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Provider Business Mailing Address
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Address Line | 11402 COVERED BRIDGE CT
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City | GLENN DALE
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State | MD
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Zip | 20769-9130
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Country | US
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Telephone | 301-814-0037
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Fax | 877-408-0066
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | GLENNA L KWAME-GREENE
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Credential | AO
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Telephone | 301-814-0037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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