Organization
PATRA CARE, LLC
Active
Other names
Vital Care of Hanover
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE G. B. KANE (OWNER)
(443) 776-4911
Entity
Organization
Contact information
Practice address
1743 DORSEY RD STE 112, HANOVER, MD 21076-1187
(443) 776-4911
(240) 366-8065
Mailing address
1743 DORSEY RD STE 112, HANOVER, MD 21076-1187
(443) 776-4911
(240) 366-8065
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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