# DESICARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desicare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801402656
- **Authorized official:** CHERYL MICHELE JONES (PRESIDENT/CEO)
- **Authorized official phone:** (301) 768-7122

## Contact information

- **Practice address:** 3200 CRAIN HWY STE 300, WALDORF, MD 20603-4843
- **Practice address phone:** (301) 852-4540
- **Practice address fax:** (240) 427-9274
- **Mailing address:** 4157 MOUNTAIN ROAD, 160, PASADENA, MD 21122
- **Mailing address phone:** (470) 263-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 09/17/2020
- **Last updated:** 12/14/2021