Organization
SECOND CHANCE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA LENORA TOLSON (BUSINESS OWNER)
(240) 346-6043
Entity
Organization
Contact information
Practice address
7330 HAWTHORNE RD, LA PLATA, MD 20646-5710
(240) 346-6043
Mailing address
7330 HAWTHORNE RD, LA PLATA, MD 20646-5710
(240) 346-6043
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010939305
—
MD
Enumeration date
10/30/2018
Last updated
11/15/2018
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