| Full Circle Home Care, Llc | |
|
2131 Espey Ct Ste 2 Crofton MD 21114-2474 | |
| (410) 487-4300 | |
| Not Available |
| Full Name | Full Circle Home Care, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2131 Espey Ct Ste 2, Crofton, Maryland |
| Authorized Official Name and Position | Shanell Nicole Jacobs (OWNER) |
| Authorized Official Contact | 4104874300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Home Care, Llc 2131 Espey Ct Ste 2 Crofton MD 21114-2474 Ph: (410) 487-4300 | Full Circle Home Care, Llc 2131 Espey Ct Ste 2 Crofton MD 21114-2474 Ph: (410) 487-4300 |
| NPI Number | 1902519697 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902519697 | NPI | - | NPPES |
| 502586900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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