# KIDSCARE HOME HEALTH OF MARYLAND, LLC

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

## Provider details

- **NPI number:** 1497579809
- **Authorized official:** KELLY KASKAVAGE (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (866) 919-3240

## Contact information

- **Practice address:** 1122 KENILWORTH DR STE 501A, TOWSON, MD 21204-2191
- **Practice address phone:** (703) 679-7837
- **Mailing address:** 4201 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3631

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2024
- **Last updated:** 11/12/2024