| Cruzan Homestead | |
|
5305 Jefferson Pike Ste C7 Frederick MD 21703-6982 | |
| (301) 244-9410 | |
| Not Available |
| Full Name | Cruzan Homestead |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5305 Jefferson Pike Ste C7, Frederick, Maryland |
| Authorized Official Name and Position | Cathy Cruzan (OFFICE MANAGER) |
| Authorized Official Contact | 3012449410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cruzan Homestead 1734 Rohrersville Rd Knoxville MD 21758-1129 Ph: (301) 244-9410 | Cruzan Homestead 5305 Jefferson Pike Ste C7 Frederick MD 21703-6982 Ph: (301) 244-9410 |
| NPI Number | 1942827951 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942827951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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