Organization
PRIVATE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA GIMBURG (EXECUTIVE DIRECTOR)
(410) 486-6565
Entity
Organization
Contact information
Practice address
1700 REISTERSTOWN RD STE 208, PIKESVILLE, MD 21208-2920
(410) 486-6565
(410) 486-6606
Mailing address
1700 REISTERSTOWN RD STE 208, PIKESVILLE, MD 21208-2920
(410) 486-6565
(410) 486-6606
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955301100
—
MD
Enumeration date
01/11/2021
Last updated
01/11/2021
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