| Chmg Corelife, Llc | |
|
1036 Saint Nicholas Dr Unit 101 Waldorf MD 20603-4758 | |
| (240) 261-7170 | |
| Not Available |
| Full Name | Chmg Corelife, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1036 Saint Nicholas Dr Unit 101, Waldorf, Maryland |
| Authorized Official Name and Position | Carolyn Heithaus (CFO) |
| Authorized Official Contact | 4105358236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chmg Corelife, Llc 1099 Winterson Rd Ste 300 Linthicum Heights MD 21090-2279 Ph: (800) 905-3261 | Chmg Corelife, Llc 1036 Saint Nicholas Dr Unit 101 Waldorf MD 20603-4758 Ph: (240) 261-7170 |
| NPI Number | 1316654460 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316654460 | NPI | - | NPPES |
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