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NPI Code Detail

MEDICARE: MASA HEALTHCARE, LLC

MEDICARE: MASA HEALTHCARE, 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
1251E00000XHome Health Agency
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1811126485
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASA HEALTHCARE, LLC
Provider Business Mailing Address
First Line : 10451 MILL RUN CIR STE 400
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5594
Country : US
Telephone Number : 410-356-8863
Fax Number : 866-468-9901
Provider Business Practice Location Address
First Line : 10451 MILL RUN CIR STE 400
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5594
Country : US
Telephone Number : 410-356-8863
Fax Number : 866-468-9901
Authorized Official
Title or Position : CEO
Name : MR. MOHAMED ALI
Credential : PTA
Telephone Number : 443-204-2714
Provider Enumeration Date : 07/04/2009
Last Update Date : 09/16/2009

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Directions to “MASA HEALTHCARE, LLC ” Practice Location

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