Organization
EASTERN SHORE LOV'N CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERETT R. NOBLE (VICE PRESIDENT)
(410) 651-3066
Entity
Organization
Contact information
Practice address
30331 OAK ST, PRINCESS ANNE, MD 21853-1333
(410) 651-3066
Mailing address
30331 OAK ST, PRINCESS ANNE, MD 21853-1333
(410) 651-3066
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2247
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R2247
RESIDENTIAL SERVICE AGENCY
MD
Enumeration date
07/24/2015
Last updated
07/24/2015
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