MEDICARE: 3M HOME HEALTH-CARE SERVICES, 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1952605453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3M HOME HEALTH-CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	11700 OLD COLUMBIA PIKE APT 114
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2551
Country	:	US
Telephone Number	:	240-643-9637
Fax Number	:

Provider Business Practice Location Address
First Line	:	11700 OLD COLUMBIA PIKE APT 114
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2551
Country	:	US
Telephone Number	:	240-643-9637
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARTIN N TEGANTCHOUANG
Credential	:
Telephone Number	:	240-643-9637

Provider Enumeration Date	:	12/27/2010
Last Update Date	:	12/27/2010

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