| NPI | 1336861921 |
|---|---|
| Former Legal Business Name | EASTERN TELEHEALTH, INC. |
| Entity Type | Organization |
| Authorized Contact | ANDREW KOHLER CEO 571-249-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 104100000X Social Worker |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| 281P00000X Chronic Disease Hospital | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-07-25 |