NPI | 1912056029 |
---|---|
Doing Business As | JARRETTSVILLE FAMILY CARE |
Entity Type | Organization |
Authorized Contact | LINDA A WALSH President 410-692-5292 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MD D0034208) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2012-11-14 |