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Jerome Depetris
Home Health Agency in Towson, Maryland
NPI 1003222704

Jerome Depetris is a Home Health Agency based in Towson, MD. Jerome Depetris practices in Towson, MD. The NPI Number for Jerome Depetris is 1003222704 and holds a License No. R2580 (Maryland).

The current practice location address for Jerome Depetris is 8601 Lasalle Rd, Towson, MD and can be reached out via phone at 410-337-8910 and via fax at 410-337-8327. You can also correspond with Jerome Depetris through the mailing address at 8601 LASALLE ROAD, TOWSON, MD - 21286-2005 (mailing address contact number: 410-337-8910).

Location: 8601 Lasalle Rd, Towson, MD, 21286-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003222704
Provider Name
Jerome Depetris
Credential
Provider Entity Type
Individual
Gender
Male
Address
8601 Lasalle Rd, Towson, MD, 21286-2005
Phone Number
410-337-8910
Fax Number
410-337-8327
Provider Enumeration Date
07/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8601 Lasalle Rd
City
Towson
State
Maryland
Zip
21286-2005
Phone Number
410-337-8910
Fax Number
410-337-8327
person
Provider Business Mailing Address Details
Address
8601 Lasalle Rd
City
Towson
State
Maryland
Zip
21286-2005
Phone Number
410-337-8910
Fax Number
410-337-8327
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
R2580 (Maryland)
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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