Organization
PHENOMENAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYSHEENA EVETTE SIMS (OWNER/ CEO)
(443) 801-2967
Entity
Organization
Contact information
Practice address
4006 BIDDISON LN, #3A, BALTIMORE, MD 21206-4146
(443) 801-2967
Mailing address
4990 MERCANTILE RD, UNIT 43662, NOTTINGHAM, MD 21236-8500
(443) 801-2967
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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