Organization
WATERMARK HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BABAJIDE JOHNSON ADEDIPE LPN (ADMINISTRATOR)
(410) 262-7321
Entity
Organization
Contact information
Practice address
11511 RIDGEDALE DR, WHITE MARSH, MD 21162-1146
(410) 230-1840
Mailing address
11511 RIDGEDALE DR, WHITE MARSH, MD 21162-1146
(410) 230-1840
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3747
MD
Other
Enumeration date
05/23/2015
Last updated
05/23/2015
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