Organization
LUMINIS HEALTH GILCHRIST LIFECARE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MODDERMAN (REVENUE CYCLE MANAGER)
(443) 849-8302
Entity
Organization
Contact information
Practice address
2000 MEDICAL PKWY STE 607, ANNAPOLIS, MD 21401-3748
(443) 322-5800
Mailing address
11311 MCCORMICK RD STE 350, HUNT VALLEY, MD 21031-8618
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317230901
—
MD
Enumeration date
11/08/2023
Last updated
11/08/2023
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