Organization
HOME CARE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DITTA ALLEN MSN, MSJ, CRNP (OWNER)
(410) 715-1978
Entity
Organization
Contact information
Practice address
8407 MAIN ST, ELLICOTT CITY, MD 21043-4867
(410) 715-1978
Mailing address
8407 MAIN ST, ELLICOTT CITY, MD 21043-4867
(410) 715-1978
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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