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Organization
HHA
Active
Organization
HHA
Active
Other names
CNA
Organization subpart
No
Provider details
NPI number
Authorized official
DARELLE D PATOTCHOU (HOME HEALTH AID)
(240) 618-7906
Entity
Organization
Contact information
Practice address
6931 WOODSTREAM LANE, LANHAM, MD 20706
(240) 618-7906
Mailing address
6931 WOODSTREAM LANE, LANHAM, MD 20706
(240) 618-7906
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA12022
MD
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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