Organization
FOGRACE HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOLASHADE DEMUREN (DIRECTOR)
(240) 832-4323
Entity
Organization
Contact information
Practice address
3203 SHORTRIDGE LN, MITCHELLVILLE, MD 20721-2574
(240) 832-4315
(301) 249-9568
Mailing address
3203 SHORTRIDGE LN, MITCHELLVILLE, MD 20721-2574
(240) 832-4315
(301) 249-9568
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2031R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7714131-00
—
MD
Enumeration date
06/26/2008
Last updated
06/26/2008
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