Provider Demographics
NPI:1831971563
Name:HEBRON CARE CENTER INC
Entity type:Organization
Organization Name:HEBRON CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:KWASI
Authorized Official - Last Name:TUFUOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-274-4040
Mailing Address - Street 1:9522 PIAFFE CIR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4681
Mailing Address - Country:US
Mailing Address - Phone:240-846-5149
Mailing Address - Fax:240-500-1753
Practice Address - Street 1:6812 MCCORMICK RD
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4351
Practice Address - Country:US
Practice Address - Phone:240-274-4040
Practice Address - Fax:240-500-1753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility