MEDICARE: VICENZA HOME HEALTH CARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	R2310	MD

General Provider Information

NPI Number	:	1013959626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICENZA HOME HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1232 RACE RD STE 303
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-2382
Country	:	US
Telephone Number	:	410-882-0568
Fax Number	:	410-882-7050

Provider Business Practice Location Address
First Line	:	1232 RACE ROAD
Second Line	:	STE# 303
City	:	ROSEDALE
State	:	MD
Zip	:	21237-2123
Country	:	US
Telephone Number	:	410-882-0568
Fax Number	:	410-882-7050

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. NOEL PRINCE ANYANWU
Credential	:
Telephone Number	:	410-882-0568

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/13/2019

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