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Organization
HOMECARE REHAB AND NURSING LLC
Active
Organization
HOMECARE REHAB AND NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BAKER (ADMINISTRATOR)
(240) 617-0786
Entity
Organization
Contact information
Practice address
197 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4314
(301) 662-1997
Mailing address
197 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4314
(301) 662-1997
(301) 668-2202
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
MD
225X00000X
Occupational Therapist
—
MD
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
MD
Other
Enumeration date
09/09/2008
Last updated
03/22/2022
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