Organization
IVY LEAGUE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY TEONNA MABREY (CEO)
(443) 675-6598
Entity
Organization
Contact information
Practice address
2505 LORD BALTIMORE DR STE A-17, WINDSOR MILL, MD 21244-2673
(443) 675-6598
Mailing address
2505 LORD BALTIMORE DR STE A-17, WINDSOR MILL, MD 21244-2673
(443) 675-6598
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MD
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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