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Organization
INHOME CARETAKERS
Active
Organization
INHOME CARETAKERS
Active
Other names
BETTY DARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAUGLE HOPE DARE (NONEMPLOYEE DISABLED CARETAKER RENT)
(443) 239-6277
Entity
Organization
Contact information
Practice address
406 LAKE DR, LUSBY, MD 20657-3260
(443) 239-6277
Mailing address
406 LAKE DR, LUSBY, MD 20657-3260
(443) 239-6277
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
D60062231336
MD
320700000X
Physical Disabilities Residential Treatment Facility
Primary
D60062231336
MD
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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