MEDICARE: MML HOME CARE 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	:	1861938193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MML HOME CARE INC

Provider Business Mailing Address
First Line	:	7291 POST RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-3212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7291 POST RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-3212
Country	:	US
Telephone Number	:	401-667-2923
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CRISTIAN DERSIDAN
Credential	:
Telephone Number	:	401-667-2923

Provider Enumeration Date	:	01/10/2017
Last Update Date	:	01/10/2017

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Directions to “MML HOME CARE INC ” Practice Location

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