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Organization
DISTINCTIVE HOME CARE
Active
Organization
DISTINCTIVE HOME CARE
Active
Other names
Distinctive Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANTE NICOLE DAVIS (DIRECTOR OF OPERATIONS)
(301) 925-2900
Entity
Organization
Contact information
Practice address
9500 ARENA DR, SUITE 105, LARGO, MD 20774-3701
(301) 925-2900
(301) 925-2902
Mailing address
9500 ARENA DR, SUITE 105, LARGO, MD 20774-3701
(301) 925-2900
(301) 925-2902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2323
MD
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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