Individual
MISS ELLEN MENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 AMEGA WAY, GLEN BURNIE, MD 21060-8787
(646) 238-4603
Mailing address
7400 AMEGA WAY, GLEN BURNIE, MD 21060-8787
(646) 238-4603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RSA-01610
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RSA-01610
RESIDENTIAL SERVICE AGENCY NON EXPIRING LICENSE
MD
Enumeration date
04/14/2025
Last updated
04/23/2025
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