Organization
HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ROSLYN ROSE (CEO)
(443) 529-3229
Entity
Organization
Contact information
Practice address
1400 ANGLESEA STREET, APT 1B, BALTIMORE, MD 21224
(410) 800-6410
Mailing address
2102 GREENMOUNT AVE, SUITE2, BALTIMORE, MD 21218
(443) 529-3229
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
374U00000X
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374U00000X
—
MD
Enumeration date
08/30/2012
Last updated
08/30/2012
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