# MDICS REHABILITATIVE SERVICES - LTCACO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073404471
- **Authorized official:** DAVID SWEATT (CFO)
- **Authorized official phone:** (240) 841-8714

## Contact information

- **Practice address:** 4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
- **Practice address phone:** (410) 922-2443
- **Mailing address:** PO BOX 69231, BALTIMORE, MD 21264-9231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2025
- **Last updated:** 07/14/2025