MEDICARE: AU SECOURS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	177F00000X	Lodging Provider
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251E00000X	Home Health Agency
5	253Z00000X	In Home Supportive Care Agency
6	261QA0600X	Adult Day Care Clinic/Center
7	302R00000X	Health Maintenance Organization
8	343900000X	Non-emergency Medical Transport (VAN)
9	347C00000X	Private Vehicle
10	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1609437656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AU SECOURS

Provider Business Mailing Address
First Line	:	6600 HORSESHOE RD
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-2537
Country	:	US
Telephone Number	:	202-802-3098
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 HORSESHOE RD
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-2537
Country	:	US
Telephone Number	:	202-802-3098
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. DEJUAN ANDREA BURNS
Credential	:	CO
Telephone Number	:	202-802-3098

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	06/20/2019

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Directions to “AU SECOURS ” Practice Location

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