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Organization

ME FIRST RESPITE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN PENDERGRASS SR. (CHIEF OPERATIONS OFFICER)
(301) 747-3961
Entity
Organization

Contact information

Practice address
6703 REDFIELD AVE, HYATTSVILLE, MD 20784-1436
(301) 747-3961
Mailing address
6703 REDFIELD AVE, HYATTSVILLE, MD 20784-1436
(301) 747-3961

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
385H00000X
Respite Care

Other

Enumeration date
11/30/2020
Last updated
12/01/2020
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