Individual provider · Type 1 NPI
Jerome Depetris
Home Health Agency · Towson, MD
Practice location
8601 Lasalle Rd, 100
Towson, MD 21286-2005
Fax (410) 337-8327
Mailing address
8601 Lasalle Road, Suite 100
Towson, MD 21286-2005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency Primary | 251E00000X | R2580 (MD) |
Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…
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About NPI 1003222704
Jerome Depetris's National Provider Identifier is 1003222704, issued on Jul 2, 2014. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Towson, MD. The record was last updated on Jul 2, 2014.