Organization
TOTAL IMAGE CARE INC
Active
Other names
Image Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JEROME KELLY III (CEO)
(410) 342-9484
Entity
Organization
Contact information
Practice address
2401 W BELVEDERE AVE, IMAGE RECOVERY CENTER AT SINAI HOSPITAL, BALTIMORE, MD 21215
(410) 601-4725
(440) 601-4609
Mailing address
800 ARMY ROAD, TOWSON, MD 21204
(410) 342-9484
(410) 342-9486
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F807
BLUE CROSS
DC
01
—
MH24
BLUE CROSS
MD
Enumeration date
08/14/2006
Last updated
08/22/2020
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