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NPI Code Detail

MEDICARE: TAINO INCORPORATED

MEDICARE: TAINO INCORPORATED
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1831878859
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAINO INCORPORATED
Provider Business Mailing Address
First Line : 401 POST OFFICE RD STE 101B
Second Line :
City : WALDORF
State : MD
Zip : 20602-2738
Country : US
Telephone Number : 754-312-0498
Fax Number :
Provider Business Practice Location Address
First Line : 401 POST OFFICE RD STE 101B
Second Line :
City : WALDORF
State : MD
Zip : 20602-2738
Country : US
Telephone Number : 754-312-0498
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SARRAH K. DAVIS
Credential : MPA
Telephone Number : 754-312-0498
Provider Enumeration Date : 07/17/2023
Last Update Date : 07/17/2023

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Directions to “TAINO INCORPORATED ” Practice Location

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