Individual
BRENT CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 WARFIELD DR APT 1032, LANDOVER, MD 20785-5504
(202) 230-9394
Mailing address
401 WARFIELD DR APT 1032, LANDOVER, MD 20785-5504
(202) 230-9394
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251T00000X
PACE Provider Organization
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/22/2023
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