Organization
6812 MCCORMICK RD. UPPER MARLBORO MD. 20772
Active
Parent organization
R3967
Other names
FIDELT QUALITY HOME CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
R3967
Authorized official
MRS. FIDELIA YAA TUFUOR (DON)
(240) 274-4794
Entity
Organization
Contact information
Practice address
6812 MCCORMICK RD, UPPER MARLBORO, MD 20772-4351
(240) 274-4794
Mailing address
6812 MCCORMICK RD, UPPER MARLBORO, MD 20772-4351
(240) 274-4794
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3967
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53001440-00
—
MD
Enumeration date
02/28/2017
Last updated
02/28/2017
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