Organization
PROFESSIONAL HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL L SMITH (SR CORP DIRECTOR BILLING)
(610) 205-2440
Entity
Organization
Contact information
Practice address
107 CHESAPEAKE BLVD, SUITE 114, ELKTON, MD 21921-6390
(410) 398-4733
(410) 620-2723
Mailing address
620 FREEDOM BUSINESS CTR DR, SUITE 105, KING OF PRUSSIA, PA 19406-1330
(610) 205-2440
(610) 205-2468
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20586
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004500400
—
MD
Enumeration date
05/19/2008
Last updated
05/19/2008
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