Organization
CHESTER RIVER HOME CARE AND HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL P. MARINELLI JR. (CFO)
(410) 778-7668
Entity
Organization
Contact information
Practice address
6602 CHURCH HILL RD, SUITE 300, CHESTERTOWN, MD 21620-2310
(410) 778-1049
(410) 778-7399
Mailing address
6602 CHURCH HILL RD, SUITE 300, CHESTERTOWN, MD 21620-2310
(410) 778-1049
(410) 778-7399
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
H1504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104500803
—
MD
01
—
584128O1
BLUE CHOICE
MD
01
—
NY5
BLUE CROSS FEDERAL
MD
Enumeration date
03/15/2007
Last updated
08/22/2012
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