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Organization

OUR FAMILY TREE

Active
Other names
Caring Matters Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTONIO DANIEL DISTANCE (PRESIDENT / C.E.O)
(443) 608-0401
Entity
Organization

Contact information

Practice address
1203 LAKESIDE AVE, BALTIMORE, MD 21218-3002
(443) 608-0401
(410) 243-2246
Mailing address
1203 LAKESIDE AVE, BALTIMORE, MD 21218
(443) 608-0401
(410) 243-2246

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
R3139
MD

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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