Organization
AATHOME PEDIATRIC NURSING TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN A K HINES (ADMINISTRATOR)
(301) 617-0083
Entity
Organization
Contact information
Practice address
13009 TWELVE TREES CT, CLARKSVILLE, MD 21029-1146
(301) 617-0083
(301) 317-8731
Mailing address
PO BOX 241, CLARKSVILLE, MD 21029
(301) 617-0083
(301) 317-8731
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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