Organization
AMAZING PEARL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YETUNDE SHETEOLU (ADMINISTRATOR)
(240) 584-9454
Entity
Organization
Contact information
Practice address
1758 RICHFIELD DR, SEVERN, MD 21144-3025
(240) 584-9454
Mailing address
1758 RICHFIELD DR, SEVERN, MD 21144-3025
(240) 584-9454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/15/2023
Last updated
05/22/2023
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