# BLOOD BOSS

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

## Provider details

- **NPI number:** 1417662412
- **Authorized official:** ASTRIA COLES (OWNER)
- **Authorized official phone:** (443) 934-1478

## Contact information

- **Practice address:** 1948 W FAYETTE ST, BALTIMORE, MD 21223-1649
- **Practice address phone:** (443) 934-1478
- **Mailing address:** 1948 W FAYETTE ST, BALTIMORE, MD 21223-1649

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2023
- **Last updated:** 01/16/2023