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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