Individual
COLLINS M MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3419 DODGE PARK RD APT 202, HYATTSVILLE, MD 20785-2041
(240) 468-6781
Mailing address
3419 DODGE PARK RD APT 202, HYATTSVILLE, MD 20785-2041
(240) 468-6781
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
HHA13410
DC
Other
Enumeration date
01/17/2018
Last updated
02/24/2025
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