# 6812 MCCORMICK RD. UPPER MARLBORO MD. 20772

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** R3967
- **Other names:** FIDELT QUALITY HOME CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326588112
- **Legal business name:** R3967
- **Authorized official:** MRS. FIDELIA YAA TUFUOR (DON)
- **Authorized official phone:** (240) 274-4794

## Contact information

- **Practice address:** 6812 MCCORMICK RD, UPPER MARLBORO, MD 20772-4351
- **Practice address phone:** (240) 274-4794
- **Mailing address:** 6812 MCCORMICK RD, UPPER MARLBORO, MD 20772-4351
- **Mailing address phone:** (240) 274-4794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R3967 | MD | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 02/28/2017