Provider Demographics
NPI:1922235605
Name:HOME PHLEBOTOMY & NURSING SERVICES
Entity Type:Organization
Organization Name:HOME PHLEBOTOMY & NURSING SERVICES
Other - Org Name:HARMONICARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-626-7008
Mailing Address - Street 1:1507 RITCHIE HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2743
Mailing Address - Country:US
Mailing Address - Phone:410-626-7008
Mailing Address - Fax:410-626-8801
Practice Address - Street 1:1507 RITCHIE HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2743
Practice Address - Country:US
Practice Address - Phone:410-626-7008
Practice Address - Fax:410-626-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR115013251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care