Provider Demographics
NPI:1669080404
Name:GLYNCARE, INC.
Entity type:Organization
Organization Name:GLYNCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-484-2181
Mailing Address - Street 1:3105 EMMORTON RD STE 2B3
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2583
Mailing Address - Country:US
Mailing Address - Phone:443-484-2181
Mailing Address - Fax:443-922-9305
Practice Address - Street 1:3105 EMMORTON RD STE 2B3
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2583
Practice Address - Country:US
Practice Address - Phone:443-484-2181
Practice Address - Fax:443-922-9305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care