Organization
GWYNN OAK HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN MCCOY (MEMBER)
(443) 278-6424
Entity
Organization
Contact information
Practice address
1920 HILLCREST RD, WOODLAWN, MD 21207-5264
(443) 278-6424
Mailing address
1920 HILLCREST RD, WOODLAWN, MD 21207-5264
(443) 278-6424
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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