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Organization
CHMG CORELIFE, LLC
Active
Organization
CHMG CORELIFE, LLC
Active
Parent organization
CALVERT HEALTH SYSTEM, INC.
Other names
CalvertHealth Weight Management, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALVERT HEALTH SYSTEM, INC.
Authorized official
CAROLYN HEITHAUS (CFO)
(410) 535-8236
Entity
Organization
Contact information
Practice address
1036 SAINT NICHOLAS DR UNIT 101, WALDORF, MD 20603-4758
(240) 261-7170
Mailing address
1099 WINTERSON RD STE 300, LINTHICUM HEIGHTS, MD 21090-2279
(800) 905-3261
(443) 836-5606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/05/2021
Last updated
01/16/2024
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