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NPI Code Detail

MEDICARE: MED EXP LLC

MEDICARE: MED EXP 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
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1083302384
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED EXP LLC
Provider Business Mailing Address
First Line : 5057 SILVER OAK DR
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-3394
Country : US
Telephone Number : 443-839-7256
Fax Number :
Provider Business Practice Location Address
First Line : 5057 SILVER OAK DR
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-3394
Country : US
Telephone Number : 443-839-7256
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NNENNA CHUKWULEBE
Credential :
Telephone Number : 443-839-7256
Provider Enumeration Date : 04/26/2023
Last Update Date : 04/26/2023

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Directions to “MED EXP LLC ” Practice Location

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