Provider Demographics
NPI:1194993857
Name:MARYLAND CARE CENTER
Entity type:Organization
Organization Name:MARYLAND CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:RICHIE
Authorized Official - Last Name:EICHIE
Authorized Official - Suffix:SR
Authorized Official - Credentials:04/25/1968
Authorized Official - Phone:443-600-0571
Mailing Address - Street 1:5209 YORK RD
Mailing Address - Street 2:SUITE M16
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-4225
Mailing Address - Country:US
Mailing Address - Phone:443-600-0571
Mailing Address - Fax:
Practice Address - Street 1:5209 YORK RD
Practice Address - Street 2:SUITE M16
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4225
Practice Address - Country:US
Practice Address - Phone:443-992-7686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health