Organization
DESICARE LLC
Active
Other names
Desicare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MICHELE JONES (PRESIDENT/CEO)
(301) 768-7122
Entity
Organization
Contact information
Practice address
3200 CRAIN HWY STE 300, WALDORF, MD 20603-4843
(301) 852-4540
(240) 427-9274
Mailing address
4157 MOUNTAIN ROAD, 160, PASADENA, MD 21122
(470) 263-0801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/17/2020
Last updated
12/14/2021
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