Organization
SACRED SPACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA MAHDI (OWNER)
(240) 923-1599
Entity
Organization
Contact information
Practice address
8710 CAMERON ST UNIT 904, SILVER SPRING, MD 20910-3761
(240) 923-1599
Mailing address
8710 CAMERON ST UNIT 904, SILVER SPRING, MD 20910-3761
(240) 923-1599
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
04/20/2023
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