Organization
REBEKAH HOME HEALTHCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLOIRA LYNN BROWN- BRISTOL (FOUNDER CEO/ EXCUTIVE OFFICE)
(410) 922-2617
Entity
Organization
Contact information
Practice address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
(410) 922-4620
Mailing address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
(410) 922-4620
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
R2800R
MD
251C00000X
Developmentally Disabled Services Day Training Agency
R2800R
MD
251E00000X
Home Health Agency
Primary
R2800R
MD
251G00000X
Community Based Hospice Care Agency
R2800R
MD
251J00000X
Nursing Care Agency
R2800R
MD
305R00000X
Preferred Provider Organization
R2800R
MD
305S00000X
Point of Service
R2800R
MD
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
R2800R
MD
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
R2800R
MD
324500000X
Substance Abuse Rehabilitation Facility
R2800R
MD
332B00000X
Durable Medical Equipment & Medical Supplies
R2800R
MD
332BD1200X
Dialysis Equipment & Supplies (DME)
R2800R
MD
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
R2800R
MD
332U00000X
Home Delivered Meals
R2800R
MD
333600000X
Pharmacy
R2800R
MD
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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