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Organization

PROVIDER PARTNERS SENIOR CARE LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH DOUGLAS PERSINGER (CHIEF OPERATING OFFICER)
(410) 456-3946
Entity
Organization

Contact information

Practice address
8820 COLUMBIA 100 PKWY STE 430, COLUMBIA, MD 21045-2175
(410) 967-2097
Mailing address
8820 COLUMBIA 100 PKWY STE 430, COLUMBIA, MD 21045-2175
(410) 967-2097

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
06/05/2026
Last updated
06/05/2026
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