| NPI | 1992462667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MODDERMAN Revenue Cycle Manager 443-849-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2023-06-05 |