Organization
VICE PRESTIGE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDICE MOORE (EXECUTIVE DIRECTOR)
(410) 896-6351
Entity
Organization
Contact information
Practice address
5 GWYNNS MILL CT STE A, OWINGS MILLS, MD 21117-3529
(443) 400-7240
Mailing address
5 GWYNNS MILL CT STE A, OWINGS MILLS, MD 21117-3529
(443) 400-7240
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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