Organization
PRIMARY CARE AT HOME OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
4701 MOUNT HOPE DR, SUITE A, BALTIMORE, MD 21215-3246
(337) 233-1307
(337) 233-5764
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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