Organization
MINERVA HOME HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOLASHADE E GREEN RN (ADMINISTRATOR)
(240) 560-5080
Entity
Organization
Contact information
Practice address
9120 CHESAPEAKE AVE STE 201, NORTH BEACH, MD 20714-5043
(240) 603-5025
Mailing address
2301 DORSEY RD STE 111, GLEN BURNIE, MD 21061-3276
(240) 603-5025
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3104
MD
Other
Enumeration date
08/12/2011
Last updated
03/11/2021
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