Provider Demographics
NPI:1073042107
Name:ACCESS NURSING SERVICES OF MARYLAND, INC.
Entity Type:Organization
Organization Name:ACCESS NURSING SERVICES OF MARYLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:WEADOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-321-5560
Mailing Address - Street 1:1407 YORK RD STE 207
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6042
Mailing Address - Country:US
Mailing Address - Phone:410-321-5560
Mailing Address - Fax:410-321-5565
Practice Address - Street 1:1407 YORK RD STE 207
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6042
Practice Address - Country:US
Practice Address - Phone:410-321-5560
Practice Address - Fax:410-321-5565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1008R251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health