Provider Demographics
NPI:1699282871
Name:MEDLEY'S HEALTHCARE AGENCY, LLC
Entity type:Organization
Organization Name:MEDLEY'S HEALTHCARE AGENCY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-726-1039
Mailing Address - Street 1:200 E MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5135
Mailing Address - Country:US
Mailing Address - Phone:410-726-1039
Mailing Address - Fax:410-726-2772
Practice Address - Street 1:200 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5135
Practice Address - Country:US
Practice Address - Phone:410-726-1039
Practice Address - Fax:410-726-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care