Provider Demographics
NPI:1194133835
Name:MARYLAND HEALTH CARE RESOURCES
Entity type:Organization
Organization Name:MARYLAND HEALTH CARE RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MEDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MA
Authorized Official - Phone:410-523-7400
Mailing Address - Street 1:2901 DRUID PARK DR
Mailing Address - Street 2:STE 102A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-8102
Mailing Address - Country:US
Mailing Address - Phone:410-523-7400
Mailing Address - Fax:410-523-3404
Practice Address - Street 1:2901 DRUID PARK DR
Practice Address - Street 2:STE 102A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-8102
Practice Address - Country:US
Practice Address - Phone:410-523-7400
Practice Address - Fax:410-523-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1184253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care