# FRESH FRESH HEALTH CARE AGENCY LLC,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresh Fresh Healthcare Cannabis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750021614
- **Authorized official:** DR. ANDREA K RODNEY PHD DR PHYSIOLOGY (CEO)
- **Authorized official phone:** (202) 823-9346

## Contact information

- **Practice address:** 7604 VICAR PL, NEW CARROLLTON, MD 20784-2966
- **Practice address phone:** (202) 823-9346
- **Mailing address:** 7604 VICAR PL, NEW CARROLLTON, MD 20784-2966
- **Mailing address phone:** (202) 823-9346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | Yes |
| 282J00000X | Religious Nonmedical Health Care Institution | — | — | — |

## Other

- **Enumeration date:** 03/30/2022
- **Last updated:** 04/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | W20782660 | OTHER LOCATIONS LICENSED | MD |