Organization
MARYLAND HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX BEREZIN (ADMINISTRATOR)
(443) 929-1478
Entity
Organization
Contact information
Practice address
1700 REISTERSTOWN RD, #109, BALTIMORE, MD 21208-1416
(410) 486-8303
(410) 486-8305
Mailing address
1700 REISTERSTOWN RD, #109, BALTIMORE, MD 21208-1416
(410) 486-8303
(410) 486-8305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PENDING
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217161
MEDICARE CERTIFICATION NUMBER
MD
Enumeration date
08/25/2009
Last updated
01/10/2012
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