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Organization
HERITAGE CARE, INC
Active
Organization
HERITAGE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CAICEDO (CHIEF EXECUTIVE OFFICER)
(301) 237-6677
Entity
Organization
Contact information
Practice address
5711 SARVIS AVE STE 100, RIVERDALE, MD 20737-1363
(301) 237-6677
Mailing address
5711 SARVIS AVE STE 100, RIVERDALE, MD 20737-1363
(301) 864-2333
(301) 237-6677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/26/2012
Last updated
03/18/2025
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