Organization
LIVING LIFE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MAMMEN (CEO)
(301) 685-5070
Entity
Organization
Contact information
Practice address
8307 PIGEON FORK LN, LAUREL, MD 20724-2930
(301) 685-5070
Mailing address
8307 PIGEON FORK LN, LAUREL, MD 20724-2930
(301) 685-5070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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