Organization
PIKESVILLE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIEL CHICHEPORTICHE (PROGRAM SPONSOR)
(410) 484-8500
Entity
Organization
Contact information
Practice address
1209 GREENWOOD RD, BALTIMORE, MD 21208-3609
(410) 258-8939
Mailing address
2833 SMITH AVE STE 148, BALTIMORE, MD 21209-1426
(410) 258-8939
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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