NPI 1003487331
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Practice location
- Address
- 7705 Big Buck Dr, Baltimore, MD 21244-2067
- Phone
- (443) 838-2189
Authorised official
- Name
- Mobolaji Olatidoye
- Title
- Administrator
- Phone
- (443) 838-2189
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1003487331
- Entity type
- Organization
- NPI issued
- 7 Jul 2021
- Record last updated
- 7 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.