MEDICARE: BY YOUR SIDE 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

General Provider Information

NPI Number	:	1861654345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BY YOUR SIDE INC

Provider Business Mailing Address
First Line	:	6520 TWIN LAKE DRIVE
Second Line	:
City	:	NEW MARKET
State	:	MD
Zip	:	21774-6613
Country	:	US
Telephone Number	:	301-865-9351
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 TWIN LAKE DR
Second Line	:
City	:	NEW MARKET
State	:	MD
Zip	:	21774-6613
Country	:	US
Telephone Number	:	301-471-9351
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAREN DENISE LUEDEMAN
Credential	:
Telephone Number	:	301-471-9351

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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Directions to “BY YOUR SIDE INC ” Practice Location

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