Organization
COUNTRYWIDE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORETHA WILLIAMS (CHIEF OPERATING OFFICER)
(302) 608-7317
Entity
Organization
Contact information
Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(302) 608-7317
Mailing address
PO BOX 1715, SOUTHAMPTON, PA 18966-0815
(302) 608-7317
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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