| NPI | 1588221048 |
|---|---|
| Doing Business As | MEDICAID PERSONAL PROVIDERS, LLC PT41 |
| 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 |