Organization
CHARTWELL HOME THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ROSE (CHIEF COMPLIANCE OFFICER)
(916) 475-0444
Entity
Organization
Contact information
Practice address
3630 BUSINESS DR, SACRAMENTO, CA 95820-2163
(916) 452-3253
(916) 454-3586
Mailing address
5491 CARLSON DR, SACRAMENTO, CA 95819-2435
(916) 452-3253
(916) 454-3586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY42047
CA
Other
Enumeration date
08/21/2006
Last updated
09/14/2010
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