Organization
AUGUSTINE HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HOLDEN MAINGUY (ADMINSITRATOR)
(410) 770-9930
Entity
Organization
Contact information
Practice address
1316 FENWICK LN FL 15, SILVER SPRING, MD 20910-3554
(301) 562-8500
Mailing address
101 BAY ST STE 6, EASTON, MD 21601-2723
(410) 770-9930
(410) 770-9660
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R987
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876600200
—
MD
Enumeration date
10/14/2008
Last updated
10/14/2008
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