Organization
VIVID HOME CARE SERVICE INC
Active
Organization
VIVID HOME CARE SERVICE INC
Active
Other names
VIVID HOME CARE SERVICE AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA OGADIMMA EGWIM (ADMINISTRATOR)
(443) 677-3417
Entity
Organization
Contact information
Practice address
1111 COUNTRY TERRACE ROAD, APARTMENT E, ESSEX, MD 21221
(443) 677-3417
(443) 557-1492
Mailing address
1111 COUNTRY TERRACE RD, APARTMENT E, ESSEX, MD 21221-4510
(443) 677-3417
(443) 557-1492
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
R3696
MD
251J00000X
Nursing Care Agency
Primary
R3696
MD
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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