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NPI Code Detail

MEDICARE: ON TIME HOME HEALTH SERVICES LLC

MEDICARE: ON TIME HOME HEALTH SERVICES LLC
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
13245S0500XChildren's Substance Abuse Rehabilitation Facility
2251S00000XCommunity/Behavioral Health Agency
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
4276400000XSubstance Use Disorder Rehabilitation Hospital Unit
5324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1063121978
Entity Type Code : Organization
Provider Name (Legal Business Name) : ON TIME HOME HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 8700 CENTRAL AVE STE 207
Second Line :
City : LANDOVER
State : MD
Zip : 20785-4868
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8700 CENTRAL AVE STE 207
Second Line :
City : LANDOVER
State : MD
Zip : 20785-4868
Country : US
Telephone Number : 301-433-8068
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DEBORAH AZUINE
Credential :
Telephone Number : 240-429-2874
Provider Enumeration Date : 11/18/2022
Last Update Date : 06/10/2024

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Directions to “ON TIME HOME HEALTH SERVICES LLC ” Practice Location

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