Organization
KIDSCARE HOME HEALTH OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KASKAVAGE (DIRECTOR OF COMPLIANCE)
(214) 575-2999
Entity
Organization
Contact information
Practice address
1122 KENILWORTH DR STE 501A, TOWSON, MD 21204-2191
(703) 679-7837
(800) 803-8356
Mailing address
4201 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3631
(866) 919-3240
(877) 300-7394
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107543861
—
MD
Enumeration date
07/22/2014
Last updated
12/10/2024
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