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Organization

PASSIONATE HEALTHCARE SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DORIS A BEN RN (COO)
(410) 660-5925
Entity
Organization

Contact information

Practice address
7600 RESERVE CIR, SUITE 303, BALTIMORE, MD 21244-1605
(410) 298-9234
(410) 298-9234
Mailing address
PO BOX 47224, WINDSOR MILL, MD 21244-0224
(410) 660-5925
(410) 298-9234

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2695R (RSA)
MD
251J00000X
Nursing Care Agency
0707008 NURSINGSTAFF
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52168022-00
MARYLAND DEPARTMENT OF AGING - MDOA
MD
Enumeration date
03/27/2008
Last updated
07/03/2009
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