Organization
LIBERTY NURSING REFERRAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALAH FATAH (ADMINISTRATOR)
(240) 281-8084
Entity
Organization
Contact information
Practice address
101 W 22ND ST, SUITE 403, BALTIMORE, MD 21218-5645
(410) 333-3300
Mailing address
13801 BROWN BRANCH RD, LAUREL, MD 20707-4906
(240) 281-8084
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100503
MD
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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