Organization
A BLENDED FAMILY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE SHERELLE QUEEN PMHNP (OWNER)
(443) 703-8345
Entity
Organization
Contact information
Practice address
8713 HARFORD RD, PARKVILLE, MD 21234-4650
(443) 703-8345
(410) 305-6221
Mailing address
3214 E JOPPA RD, PARKVILLE, MD 21234-3307
(443) 703-8345
(410) 305-6221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
06/06/2025
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