Organization
REBEKAH HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA LYNN BROWN- BRISTOL (FOUNDER CEO/EXCUTIVE OFFICER)
(410) 922-2617
Entity
Organization
Contact information
Practice address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
(410) 922-4620
Mailing address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
(410) 922-4620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
R2800R
MD
132700000X
Dietary Manager
R2800R
MD
133N00000X
Nutritionist
R2800R
MD
133NN1002X
Nutrition Education Nutritionist
R2800R
MD
133V00000X
Registered Dietitian
R2800R
MD
133VN1005X
Renal Nutrition Registered Dietitian
R2800R
MD
133VN1006X
Metabolic Nutrition Registered Dietitian
R2800R
MD
136A00000X
Registered Dietetic Technician
R2800R
MD
163W00000X
Registered Nurse
R2800R
MD
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R2800R
MD
163WA2000X
Administrator Registered Nurse
R2800R
MD
163WC0400X
Case Management Registered Nurse
R2800R
MD
163WC1500X
Community Health Registered Nurse
R2800R
MD
163WC3500X
Cardiac Rehabilitation Registered Nurse
R2800R
MD
163WP2201X
Ambulatory Care Registered Nurse
R2800R
MD
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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