| Emmanuel Home Health Services, Inc. | |
|
8174 Lark Brown Rd Ste 201 Elkridge MD 21075-6426 | |
| (443) 288-6677 | |
| Not Available |
| Full Name | Emmanuel Home Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8174 Lark Brown Rd Ste 201, Elkridge, Maryland |
| Authorized Official Name and Position | Jessica Sol (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 4432886677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Home Health Services, Inc. 8174 Lark Brown Rd Ste 201 Elkridge MD 21075-6426 Ph: (443) 288-6677 | Emmanuel Home Health Services, Inc. 8174 Lark Brown Rd Ste 201 Elkridge MD 21075-6426 Ph: (443) 288-6677 |
| NPI Number | 1770182115 |
|---|---|
| Provider Enumeration Date | 10/17/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770182115 | NPI | - | NPPES |
| 566703700 | Medicaid | MD | |
| 66703700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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