Organization
AYNJEL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSA HARRISTON (OWNER)
(410) 402-0944
Entity
Organization
Contact information
Practice address
612 TINKER RD, BALTIMORE, MD 21220-3799
(410) 391-3707
Mailing address
612 TINKER RD, BALTIMORE, MD 21220-3799
(410) 391-3707
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
R128308
MD
251E00000X
Home Health Agency
Primary
R128308
MD
251F00000X
Home Infusion Agency
R128308
MD
251J00000X
Nursing Care Agency
R128308
MD
251S00000X
Community/Behavioral Health Agency
R128308
MD
251T00000X
PACE Provider Organization
R128308
MD
251V00000X
Voluntary or Charitable Agency
R128308
MD
253Z00000X
In Home Supportive Care Agency
R128308
MD
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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