| Tender Hearts Prp, Llc | |
|
3450 Laurel Fort Meade Rd Ste 109a Laurel MD 20724-2040 | |
| (301) 646-6837 | |
| Not Available |
| Full Name | Tender Hearts Prp, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3450 Laurel Fort Meade Rd Ste 109a, Laurel, Maryland |
| Authorized Official Name and Position | Samantha Hailey-granderson (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 3016466837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Hearts Prp, Llc 3271 Sudlersville S Laurel MD 20724-2446 Ph: (410) 868-0761 | Tender Hearts Prp, Llc 3450 Laurel Fort Meade Rd Ste 109a Laurel MD 20724-2040 Ph: (301) 646-6837 |
| NPI Number | 1053071472 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053071472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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