# HICARE HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hicare Home Health care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225604069
- **Authorized official:** KHADIJATU KOROMA DN (REGISTERED NURSE)
- **Authorized official phone:** (301) 254-1169

## Contact information

- **Practice address:** 7012 E CLINTON ST, CLINTON, MD 20735-2106
- **Practice address phone:** (301) 254-1169
- **Practice address fax:** (301) 856-2218
- **Mailing address:** 7012 E CLINTON ST, CLINTON, MD 20735-2106
- **Mailing address phone:** (301) 254-1169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 06/02/2021