# MARYLAND INTERGENERATIONAL HEALTH CARE

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

## Provider details

- **NPI number:** 1245822022
- **Authorized official:** LYDIA HAMMOND (COMPLIANCE MANAGER)
- **Authorized official phone:** (410) 375-1491

## Contact information

- **Practice address:** 814 PRIMSON AVE, BALTIMORE, MD 21229-4604
- **Practice address phone:** (410) 375-1491
- **Mailing address:** 814 PRIMSON AVE, BALTIMORE, MD 21229-4604
- **Mailing address phone:** (410) 375-1491

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 02/03/2021