Organization
HOMECENTRIS COMMUNITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSEPH TRYBUS (CFO)
(410) 486-5330
Entity
Organization
Contact information
Practice address
1500 BEDFORD AVE, BALTIMORE, MD 21208
(410) 356-4779
(410) 415-1137
Mailing address
10 CROSSROADS DR, SUITE 110, OWINGS MILLS, MD 21117-5458
(410) 486-5330
(410) 486-5331
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
08/22/2018
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