Organization
MEDSOURCE COMMUNITY SERVICES INC. DBA SENIOR HOME CARE OF FREDERICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CLAXTON (EXECUTIVE DIRECTOR)
(301) 991-6963
Entity
Organization
Contact information
Practice address
6910 BOWERS RD STE C, FREDERICK, MD 21702-3614
(301) 473-5633
(301) 473-8585
Mailing address
1315 ORCHARD WAY, FREDERICK, MD 21703-6002
(301) 846-0160
(301) 846-0267
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R2122
MD
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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