Organization Name: | GERICALLS LLC |
NPI Number: | 1649301292 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLEN R FARRELL (OWNER) |
Mailing Address: | 3250 Starting Gate Ct Woodbine |
State: | MD US |
Postal Code: | 217977937 |
Phone Number: | 4432710688 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R086637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |