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Organization
MEDLINE HEALTH SERVICES
Active
Organization
MEDLINE HEALTH SERVICES
Active
Other names
Medline Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED WILLIAM CANNON JR. (CEO)
(301) 235-3026
Entity
Organization
Contact information
Practice address
11908 MAHER DR, FORT WASHINGTON, MD 20744
(301) 235-3026
Mailing address
11908 MAHER DR, FORT WASHINGTON, MD 20744
(301) 235-3026
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QR0208X
Mobile Radiology Clinic/Center
—
NULL
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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