Organization
DISTINCTIVE HOME CARE
Active
Other names
Distinctive Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTE DAVIS (DIRECTOR OF OPERATIONS)
(301) 925-2900
Entity
Organization
Contact information
Practice address
2006 TULSON LN, BOWIE, MD 20721-1862
(301) 925-2900
(301) 925-2902
Mailing address
2006 TULSON LN, BOWIE, MD 20721-1862
(301) 925-2900
(301) 925-2902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2323
MD
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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