# CHERRY PROFESSIONA HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295396455
- **Authorized official:** MRS. REGINA G CHERRY (CO PRESIDENT)
- **Authorized official phone:** (571) 730-8320

## Contact information

- **Practice address:** 4514 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-8154
- **Practice address phone:** (571) 730-8320
- **Practice address fax:** (571) 264-9012
- **Mailing address:** PO BOX 6087, COLUMBIA, MD 21045-8087
- **Mailing address phone:** (571) 264-9012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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