Organization
INHOME CARETAKERS
Active
Other names
BETTY DARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAUGLE HOPE DARE (NONEMPLOYEE DISABLED CARETAKER RENT)
(443) 239-6277
Entity
Organization
Contact information
Practice address
406 LAKE DR, LUSBY, MD 20657-3260
(443) 239-6277
Mailing address
406 LAKE DR, LUSBY, MD 20657-3260
(443) 239-6277
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
D60062231336
MD
320700000X
Physical Disabilities Residential Treatment Facility
Primary
D60062231336
MD
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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