Organization
CHESAPEAKE MEDCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE C. GOODMAN (PRESIDENT)
(410) 902-6540
Entity
Organization
Contact information
Practice address
13 BREEZY CT, REISTERSTOWN, MD 21136-3532
(410) 902-6540
(410) 902-6071
Mailing address
13 BREEZY CT, REISTERSTOWN, MD 21136-3532
(410) 902-6540
(410) 902-6071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R3658
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RA3658
STATE LICENSE
MD
Enumeration date
12/16/2015
Last updated
12/16/2015
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