Organization
ACTIVE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBY KIKARO (OPERATIONS DIRECTOR)
(240) 542-4240
Entity
Organization
Contact information
Practice address
1700 ROCKVILLE PIKE STE 422, ROCKVILLE, MD 20852-1631
(240) 542-4240
Mailing address
1700 ROCKVILLE PIKE STE 422, ROCKVILLE, MD 20852-1631
(240) 542-4240
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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