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Organization

HERITAGE CARE, INC

Active
Parent organization
HERITAGE CARE, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HERITAGE CARE, INC
Authorized official
JUAN CAICEDO (CEO)
(301) 237-6677
Entity
Organization

Contact information

Practice address
1121 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
(301) 237-6677
Mailing address
1121 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
(301) 237-6677

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/16/2025
Last updated
09/16/2025
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