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REBEKAH HOME HEALTHCARE, LLC

Dietary & Nutritional Service Providers Dietetic Technician, Registered

Provider NPI: 1164758249

Organization Information:
Organization Name:  REBEKAH HOME HEALTHCARE, LLC
Organization is not Subpart
Authorized Official:  GLORIA LYNN BROWN- BRISTOL  FOUNDER CEO/EXCUTIVE OFFICER  410-922-2617

Practice Location:
3829 KILBURN RD  RANDALLSTOWN, MD 21133-4655 US
Tel: 410-922-2617  Fax: 410-922-4620

Business Mailing Address:
3829 KILBURN RD  RANDALLSTOWN, MD 21133-4655 US
Tel: 410-922-2617  Fax: 410-922-4620

NPI Information:
NPI: 1164758249
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N136A00000XDietary & Nutritional Service Providers
Dietetic Technician, Registered
MDR2800R
N163W00000XNursing Service Providers
Registered Nurse
MDR2800R
N163WA0400XNursing Service Providers
Registered Nurse
MDR2800R
N163WA2000XNursing Service Providers
Registered Nurse
MDR2800R
N163WC0400XNursing Service Providers
Registered Nurse
MDR2800R
N163WC1500XNursing Service Providers
Registered Nurse
MDR2800R
N163WC3500XNursing Service Providers
Registered Nurse
MDR2800R
N163WP2201XNursing Service Providers
Registered Nurse
MDR2800R
N133N00000XDietary & Nutritional Service Providers
Nutritionist
MDR2800R
N132700000XDietary & Nutritional Service Providers
Dietary Manager
MDR2800R
N133NN1002XDietary & Nutritional Service Providers
Nutritionist
MDR2800R
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
MDR2800R
N133VN1005XDietary & Nutritional Service Providers
Dietitian, Registered
MDR2800R
N133VN1006XDietary & Nutritional Service Providers
Dietitian, Registered
MDR2800R
Y103K00000X
MDR2800R

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103K00000X

Type:

Classification:



Definition:



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