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Organization
EXPRESS HOME & RENAL HEALTHCARE, LLC.
Active
Organization
EXPRESS HOME & RENAL HEALTHCARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOLOMON M FON CPA (CEO/ADMINISTRATOR)
(301) 704-2667
Entity
Organization
Contact information
Practice address
10400 CONNECTICUT AVE STE 602, KENSINGTON, MD 20895-3909
(301) 704-2667
(301) 649-2109
Mailing address
10400 CONNECTICUT AVE STE 602, KENSINGTON, MD 20895-3909
(301) 704-2667
(301) 649-2109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
385H00000X
Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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