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Organization
CITADEL HOME HEALTHCARE LIMITED LIABILITY COMPANY
Active
Organization
CITADEL HOME HEALTHCARE LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY MALCOLM WATERS CNA (CEO)
(443) 929-0406
Entity
Organization
Contact information
Practice address
2111 SUNBRIAR LN UNIT B, GWYNN OAK, MD 21207-5987
(443) 929-0406
(443) 308-0793
Mailing address
2111 SUNBRIAR LN UNIT B, GWYNN OAK, MD 21207-5987
(443) 929-0406
(443) 308-0793
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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