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Organization
R.E.A.M LLC
Active
Organization
R.E.A.M LLC
Active
Other names
Liberty Advanced Nursing at Home, Liberty Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VASHON HARGROVE (PRESIDENT/EXECUTIVE DIRECTOR)
(240) 398-7279
Entity
Organization
Contact information
Practice address
2300 HAWKS LANDING CT, WALDORF, MD 20601-3274
(240) 398-7279
(240) 939-3050
Mailing address
12110 CHIP SHOT LN, UPPER MARLBORO, MD 20772-7958
(240) 398-7279
(240) 272-7114
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
NULL
163WC1500X
Community Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/18/2025
Last updated
09/11/2026
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