Organization Name: | CHESTER RIVER HOME CARE AND HOSPICE |
NPI Number: | 1154455897 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL P. MARINELLI (CFO) |
Mailing Address: | 6602 Church Hill Rd Suite 300 Chestertown |
State: | MD US |
Postal Code: | 216202310 |
Phone Number: | 4107781049 |
Fax Number: | 4107787399 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 08/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | H1504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |