Organization
UNIVERSAL SENIOR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIE TANKEU (CEO)
(240) 793-2122
Entity
Organization
Contact information
Practice address
154 STONECREST CIR, KEEDYSVILLE, MD 21756-1531
(301) 304-2809
Mailing address
154 STONECREST CIR, KEEDYSVILLE, MD 21756-1531
(301) 304-2809
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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