Organization
WAVES OF LIFE HOME CARE GROUP INC
Active
Organization
WAVES OF LIFE HOME CARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEMPLE DEBROCKA PARKER (CEO)
(443) 894-8646
Entity
Organization
Contact information
Practice address
1340 SMITH AVE, BALTIMORE, MD 21209-3701
(443) 894-8646
Mailing address
1340 SMITH AVE, BALTIMORE, MD 21209-3701
(443) 894-8646
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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