MEDICARE: MAXMATH TUTORING ONLINE, MARYLAND BRANCH, 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	T00427298	MD

General Provider Information

NPI Number	:	1528593464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXMATH TUTORING ONLINE, MARYLAND BRANCH, INC.

Provider Business Mailing Address
First Line	:	1121 UNIVERSITY BLVD W SUITE 907
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-0000
Country	:	US
Telephone Number	:	888-959-4159
Fax Number	:	888-959-4173

Provider Business Practice Location Address
First Line	:	1121 UNIVERSITY BLVD W SUITE 907
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-0000
Country	:	US
Telephone Number	:	888-959-4159
Fax Number	:	888-959-4173

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEAN MAXCENE DECARDE
Credential	:
Telephone Number	:	888-959-4159

Provider Enumeration Date	:	04/28/2017
Last Update Date	:	04/28/2017

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