21D2178996 CLIA NUMBER - MPS HEALTHCARE INC DBA CONTINUUM PEDIATRIC NSG SVC

Laboratory Demographics

CLIA Number: 21D2178996

Facility Name: MPS HEALTHCARE INC DBA CONTINUUM PEDIATRIC NSG SVC

Facility Address:
9030 RED BRANCH RD STE 100
COLUMBIA, MD
ZIP 21045
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Facility Phone Number: 703 506-0123

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1568977593

Taxonomy: 163WH0200X - Registered Nurse

CLIA Record

Field Name	Field Value
CLIA Number	21D2178996
LAB Type	Home Health Agency
Facility Name	MPS HEALTHCARE INC DBA CONTINUUM PEDIATRIC NSG SVC
Street	9030 RED BRANCH RD STE 100
City	COLUMBIA
State	MD
ZIP	21045
Phone	703 506-0123
CertificateType	4
CertificateEffectiveDate	2/13/2024
CertificateExpirationDate	2/12/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024