| Homecentris Community Care, Llc | |
|
1500 Bedford Ave Baltimore MD 21208 | |
| (410) 356-4779 | |
| (410) 415-1137 |
| Full Name | Homecentris Community Care, Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1500 Bedford Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Timothy Joseph Trybus (CFO) |
| Authorized Official Contact | 4104865330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homecentris Community Care, Llc 10 Crossroads Dr Suite 110 Owings Mills MD 21117-5458 Ph: (410) 486-5330 | Homecentris Community Care, Llc 1500 Bedford Ave Baltimore MD 21208 Ph: (410) 356-4779 |
| NPI Number | 1093183030 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093183030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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