Organization
MEDLINE HEALTH SERVICES
Active
Other names
Medline Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED WILLIAM CANNON JR. (CEO)
(301) 235-3026
Entity
Organization
Contact information
Practice address
11908 MAHER DR, FORT WASHINGTON, MD 20744
(301) 235-3026
Mailing address
11908 MAHER DR, FORT WASHINGTON, MD 20744
(301) 235-3026
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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