Organization
PHR OF BALTIMORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLEMENS (VP - FINANCE)
(703) 752-8710
Entity
Organization
Contact information
Practice address
1501 S EDGEWOOD ST, SUITE A, BALTIMORE, MD 21227-1071
(410) 368-2825
Mailing address
7619 LITTLE RIVER TPKE, SUITE 600, ANNANDALE, VA 22003-2625
(703) 752-8700
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
211512
MD
Other
Enumeration date
01/08/2008
Last updated
10/05/2012
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