Light Of Life Recovery & Wellness Services Llc | |
5605 Langford Bay Rd Chestertown MD 21620-5324 | |
(410) 708-9597 | |
Not Available |
Full Name | Light Of Life Recovery & Wellness Services Llc |
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Speciality | Social Worker |
Location | 5605 Langford Bay Rd, Chestertown, Maryland |
Authorized Official Name and Position | Latonya Cotton-tilghman (OWNER) |
Authorized Official Contact | 4107089597 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Light Of Life Recovery & Wellness Services Llc 5605 Langford Bay Rd Chestertown MD 21620-5324 Ph: () - | Light Of Life Recovery & Wellness Services Llc 5605 Langford Bay Rd Chestertown MD 21620-5324 Ph: (410) 708-9597 |
NPI Number | 1548035785 |
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Provider Enumeration Date | 11/17/2023 |
Last Update Date | 04/30/2024 |
Certification Date | 04/30/2024 |
Medicare PECOS PAC ID | 4385086545 |
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Medicare Enrollment ID | O20240521000247 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548035785 | NPI | - | NPPES |
Provider Name | Latonya Cotton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679877609 PECOS PAC ID: 1850511833 Enrollment ID: I20140926000551 |
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