# PHR OF BALTIMORE, INC.

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

## Provider details

- **NPI number:** 1164606406
- **Authorized official:** BRIAN CLEMENS (VP - FINANCE)
- **Authorized official phone:** (703) 752-8710

## Contact information

- **Practice address:** 1501 S EDGEWOOD ST, SUITE A, BALTIMORE, MD 21227-1071
- **Practice address phone:** (410) 368-2825
- **Mailing address:** 7619 LITTLE RIVER TPKE, SUITE 600, ANNANDALE, VA 22003-2625
- **Mailing address phone:** (703) 752-8700
- **Mailing address fax:** (703) 752-8719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 217036 | MD | Yes |

## Other

- **Enumeration date:** 12/21/2007
- **Last updated:** 02/27/2012