Organization
ALIVE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA EDEM MACGOLD (OWNER/DIRECTOR OF NURSING)
(301) 221-5373
Entity
Organization
Contact information
Practice address
6133 SILVER ARROWS WAY, COLUMBIA, MD 21045-7411
(301) 221-5373
Mailing address
6133 SILVER ARROWS WAY, COLUMBIA, MD 21045-7411
(301) 221-5373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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