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Organization
CHERRY PROFESSIONA HEALTHCARE SERVICES LLC
Active
Organization
CHERRY PROFESSIONA HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA G CHERRY (CO PRESIDENT)
(571) 730-8320
Entity
Organization
Contact information
Practice address
4514 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-8154
(571) 730-8320
(571) 264-9012
Mailing address
PO BOX 6087, COLUMBIA, MD 21045-8087
(571) 264-9012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251T00000X
PACE Provider Organization
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
282J00000X
Religious Nonmedical Health Care Institution
—
NULL
305R00000X
Preferred Provider Organization
—
NULL
305S00000X
Point of Service
—
NULL
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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