Medicaid Personal Providers, LLC
NPI #1598322059 in Silver Spring, Maryland
Provider Information
- NPI Number
- 1598322059
- Entity Type
- Organization
- Organization Name
- Medicaid Personal Providers, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 21, 2019
- Last Updated
- May 21, 2019
Practice Location
- Address
- 8555 16TH ST STE 105
- City
- Silver Spring
- State
- Maryland
- ZIP Code
- 20910-2802
- Phone
- (301) 495-6330
Authorized Official
- Name
- DAVID ELLWOOD GREENE
- Title
- ADMINISTRATOR
- Phone
- (301) 495-6330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Skilled Nursing Facility |
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