Individual
ASHA LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5748 FLAGFLOWER PL, COLUMBIA, MD 21045-2502
(667) 231-8390
Mailing address
5748 FLAGFLOWER PL, COLUMBIA, MD 21045-2502
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A00158355
CNA
MD
Enumeration date
05/17/2022
Last updated
05/17/2022
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