Provider Demographics
NPI:1083480727
Name:MARYLAND PRIORITY CAREGIVERS LLC
Entity Type:Organization
Organization Name:MARYLAND PRIORITY CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-271-7256
Mailing Address - Street 1:4410 WHITE AVENUE
Mailing Address - Street 2:SIDE DOOR ENTRANCE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206
Mailing Address - Country:US
Mailing Address - Phone:202-271-7256
Mailing Address - Fax:
Practice Address - Street 1:4410 WHITE AVENUE
Practice Address - Street 2:SIDE DOOR ENTRANCE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206
Practice Address - Country:US
Practice Address - Phone:202-271-7256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care