| NPI | 1417036120 |
|---|---|
| Doing Business As | MEDICAID PERSONAL PROVIDERS |
| Doing Business As | MEDICAID PERSONAL PROVIDERS, LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID ELLWOOD GREENE Administrator 301-495-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD R2091) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-07-20 |