# GMG HOME HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1477158889
- **Authorized official:** MRS. BARBARA TENNOR RN, BSN, MHA (ADMINISTRATOR)
- **Authorized official phone:** (301) 524-7301

## Contact information

- **Practice address:** 17813 FARRAGUT WAY, HAGERSTOWN, MD 21740-6395
- **Practice address phone:** (301) 524-7301
- **Mailing address:** 17813 FARRAGUT WAY, HAGERSTOWN, MD 21740-6395
- **Mailing address phone:** (240) 513-6856
- **Mailing address fax:** (240) 465-0280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 12/02/2020