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Organization

INDIVIDUAL HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVGENY GALATYUK (OWNRE/PRESIDENT)
(610) 908-4455
Entity
Organization

Contact information

Practice address
4904 HARFORD RD, STE 102, BALTIMORE, MD 21214-2936
(443) 750-3100
Mailing address
4904 HARFORD RD, STE 102, BALTIMORE, MD 21214-2936

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
12/05/2022
Last updated
02/04/2026
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