Organization
ET HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETA STEPHEN TATAW RN, MSN (DIRECTOR)
(240) 441-2829
Entity
Organization
Contact information
Practice address
13111 3RD ST, BOWIE, MD 20720-3746
(240) 441-2829
(240) 206-9396
Mailing address
13111 3RD ST, BOWIE, MD 20720-3746
(240) 441-2829
(240) 206-9396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2913P
MD
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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