Provider Demographics
NPI:1962505917
Name:INTELECARE INC
Entity Type:Organization
Organization Name:INTELECARE INC
Other - Org Name:INTELECARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:D
Authorized Official - Last Name:DANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-570-2929
Mailing Address - Street 1:17810 MEETING HOUSE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SANDY SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20860-1038
Mailing Address - Country:US
Mailing Address - Phone:301-570-2929
Mailing Address - Fax:301-570-2935
Practice Address - Street 1:17810 MEETING HOUSE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SANDY SPRING
Practice Address - State:MD
Practice Address - Zip Code:20860-1038
Practice Address - Country:US
Practice Address - Phone:301-570-2929
Practice Address - Fax:301-570-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive SpecialistGroup - Single Specialty