MEDICARE: FUNADO 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1699592618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUNADO CARE SERVICES INC

Provider Business Mailing Address
First Line	:	3114 FREDERICK AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21229-3804
Country	:	US
Telephone Number	:	443-813-7376
Fax Number	:	443-453-9383

Provider Business Practice Location Address
First Line	:	3114 FREDERICK AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21229-3804
Country	:	US
Telephone Number	:	443-813-7376
Fax Number	:	443-453-9383

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	HELEN O ADEBAYO
Credential	:
Telephone Number	:	443-813-7376

Provider Enumeration Date	:	09/21/2024
Last Update Date	:	09/21/2024

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Directions to “FUNADO CARE SERVICES INC ” Practice Location

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