# MINERVA HOME HEALTH CARE, INC

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

## Provider details

- **NPI number:** 1194004770
- **Authorized official:** MRS. FOLASHADE E GREEN RN (ADMINISTRATOR)
- **Authorized official phone:** (240) 560-5080

## Contact information

- **Practice address:** 9120 CHESAPEAKE AVE STE 201, NORTH BEACH, MD 20714-5043
- **Practice address phone:** (240) 603-5025
- **Mailing address:** 2301 DORSEY RD STE 111, GLEN BURNIE, MD 21061-3276
- **Mailing address phone:** (240) 603-5025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R3104 | MD | Yes |

## Other

- **Enumeration date:** 08/12/2011
- **Last updated:** 03/11/2021