| Organization Name: | REBEKAH HOME HEALTHCARE, LLC |
| NPI Number: | 1164758249 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLORIA LYNN BROWN- BRISTOL (FOUNDER CEO/EXCUTIVE OFFICER) |
| Mailing Address: | 3829 Kilburn Rd Randallstown |
| State: | MD US |
| Postal Code: | 211334655 |
| Phone Number: | 4109222617 |
| Fax Number: | 4109224620 |
| NPI Enumeration Date: | 10/26/2009 |
| NPI Last Update Date: | 10/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 136A00000X |
| License Number: | R2800R |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietetic Technician, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate |