Organization
ACTIVE PARTICIPANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIDA WILLIAMS (RN)
(301) 873-0766
Entity
Organization
Contact information
Practice address
7504 BELMAR CT, BELTSVILLE, MD 20705-1394
(301) 873-0766
Mailing address
7504 BELMAR CT, BELTSVILLE, MD 20705-1394
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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