Organization
CHOPTANK ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE HICKS (CEO)
(443) 714-9936
Entity
Organization
Contact information
Practice address
1233 PAINTED FERN RD, DENTON, MD 21629-3049
(443) 714-9936
Mailing address
1233 PAINTED FERN RD, DENTON, MD 21629-3049
(443) 714-9936
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
12/09/2020
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