Organization
SHORE HOME CARE PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD M WALSH (INTERIM PRESIDENT/CEO)
(410) 822-1000
Entity
Organization
Contact information
Practice address
121 FEDERAL ST, #3, EASTON, MD 21601-2707
(410) 820-6052
Mailing address
121 FEDERAL ST, #3, EASTON, MD 21601-2707
(410) 820-6052
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483501800
—
MD
Enumeration date
08/05/2007
Last updated
04/01/2011
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