| Heritage Care, Inc | |
|
5711 Sarvis Ave Ste 100 Riverdale MD 20737-1363 | |
| (301) 237-6677 | |
| (301) 576-3987 |
| Full Name | Heritage Care, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5711 Sarvis Ave Ste 100, Riverdale, Maryland |
| Authorized Official Name and Position | Juan Caicedo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3012376677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Care, Inc 5711 Sarvis Ave Ste 100 Riverdale MD 20737-1363 Ph: (301) 237-6677 | Heritage Care, Inc 5711 Sarvis Ave Ste 100 Riverdale MD 20737-1363 Ph: (301) 237-6677 |
| NPI Number | 1699496919 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699496919 | NPI | - | NPPES |
| 448208500 | Medicaid | MD |
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