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Contact Information

FRESH FRESH HEALTH CARE AGENCY LLC,
7604 VICAR PL
NEW CARROLLTON, MD20784-2966
 Phone: 202-823-9346
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Religious Nonmedical Health Care Institution

282J00000X B4[14] Religious Non-Medical Health Care Institution
Indicates primary specialty

NPI Profile & details for FRESH FRESH HEALTH CARE AGENCY LLC,

NPI # 1750021614
LBN Legal business name FRESH FRESH HEALTH CARE AGENCY LLC,
Authorized official ANDREA RODNEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2022
Last updated 04/07/2022 - About 4 years ago
Identifiers
MD Other W20782660 OTHER LOCATIONS LICENSED
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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