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Organization

LAVENPORT HOMECARE, LLC

Active
Parent organization
LAVENPORT, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAVENPORT, LLC
Authorized official
MR. KOFI AKOMEAH (ADMINISTRATOR)
(410) 454-8174
Entity
Organization

Contact information

Practice address
14213 GRAND PRE RD, SUITE 201, SILVER SPRING, MD 20906-2813
(301) 300-9357
Mailing address
14213 GRAND PRE RD, SUITE 201, SILVER SPRING, MD 20906-2813
(301) 300-9357

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2732P
MD

Other

Enumeration date
02/16/2009
Last updated
02/16/2009
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