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Organization
FIRST SOURCE CAREGIVERS LLC
Active
Organization
FIRST SOURCE CAREGIVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA STEWART- COLE (OWNER/ADMINISTRATOR)
(240) 464-1982
Entity
Organization
Contact information
Practice address
10994 OSWESTRY ST STE 2020, WALDORF, MD 20603-4886
(240) 346-2980
Mailing address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(240) 346-2980
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/04/2019
Last updated
01/22/2025
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