Organization
ACTIVE QUALITY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL OTTA EDENOJIE (ADMINISTRATOR)
(410) 901-7694
Entity
Organization
Contact information
Practice address
1 FLINN CT APT 1B, BALTIMORE, MD 21244-3593
(410) 901-7694
(410) 521-0579
Mailing address
1 FLINN CT APT 1B, BALTIMORE, MD 21244-3593
(410) 901-7694
(410) 521-0579
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2962
MD
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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