Organization
ST. AGNES HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CLEMENS (VP OF FINANCE)
(703) 752-8700
Entity
Organization
Contact information
Practice address
1501 S EDGEWOOD ST, SUITE A, BALTIMORE, MD 21227-1071
(410) 368-2825
(410) 368-8449
Mailing address
1501 S EDGEWOOD ST, SUITE A, BALTIMORE, MD 21227-1071
(410) 368-2825
(410) 368-8449
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH7036R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046033800
—
MD
Enumeration date
07/22/2005
Last updated
02/22/2012
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