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1588221048
MEDICAID PERSONAL PROVIDERS, LLC
SILVER SPRING, MD
NPI
1588221048
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Entity Type
Organization
Authorized Contact
DAVID ELLWOOD GREENE
Administrator
301-495-6330
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
MEDICAID PERSONAL PROVIDERS, LLC
8555 16TH ST STE 105
SILVER SPRING, MD 20910-2802
Phone number: 301-495-6330
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Mailing Address
MEDICAID PERSONAL PROVIDERS, LLC
8555 16TH ST STE 105
SILVER SPRING, MD 20910-2802
Phone number: 301-495-6330
Copy
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