Organization
CHRISTIAN HEALTHCARE OF MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE WISSINGER (PRESIDENT)
(443) 804-3408
Entity
Organization
Contact information
Practice address
12947 HARFORD RD, HYDES, MD 21082-9503
(410) 592-7270
Mailing address
12947 HARFORD RD, HYDES, MD 21082-9503
(410) 592-7270
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2960
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2996031-00
—
MD
Enumeration date
10/24/2016
Last updated
10/24/2016
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