Organization
ONSITE GERIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MCGOVERN III (PRESIDENT)
(202) 361-6670
Entity
Organization
Contact information
Practice address
107 TRAILING IVY LN, SEVERNA PARK, MD 21146-4735
(202) 361-6670
Mailing address
107 TRAILING IVY LN, SEVERNA PARK, MD 21146-4735
(202) 361-6670
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
—
DC
302R00000X
Health Maintenance Organization
—
MD
310400000X
Assisted Living Facility
—
DC
310400000X
Assisted Living Facility
Primary
—
MD
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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