Organization
HOME HEALTH CARE SERVICES LLC
Active
Organization
HOME HEALTH CARE SERVICES LLC
Active
Other names
BLAKEHURST CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J HARRISON (SENIOR VP)
(561) 272-5866
Entity
Organization
Contact information
Practice address
1055 W JOPPA RD, TOWSON, MD 21204-3741
(561) 272-5866
Mailing address
1055 W JOPPA RD, TOWSON, MD 21204-3741
(561) 272-5866
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
544P
PTAN NUMBER FROM TRAILBLAZER ENTERPRISES
MD
Enumeration date
05/15/2007
Last updated
01/07/2009
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