St Mary's Hospice Physician - Medicaid
St Mary's Hospice Physician - Medicaid is a Community Based Hospice Care Agency in Leonardtown, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
Practice location Address checks out
22699 Washington StLeonardtown, MD 20650-0650
Phone: (301) 475-6438
Fax: (301) 475-6188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Based Hospice Care Agency (primary) | Taxonomy 251G00000X · Licence H1539 (MD) |
|---|
Record details
| NPI number | 1477753937 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Allan Burbage — Director Revenue Cycle Management · (240) 434-7100 |
| NPI enumerated | July 23, 2007 |
| Last updated in NPPES | December 11, 2007 |
| Mailing address | 22699 Washington St., Leonardtown, MD 20650-0625 |