Organization
OMEGA HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE V CHASE (CEO)
(410) 982-4976
Entity
Organization
Contact information
Practice address
20 AVENTURA CT, RANDALLSTOWN, MD 21133-4331
(410) 982-4976
Mailing address
20 AVENTURA CT, RANDALLSTOWN, MD 21133-4331
(410) 982-4976
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
—
Enumeration date
08/14/2018
Last updated
08/14/2018
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