Organization
LUMINIS HEALTH GILCHRIST LIFECARE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MODDERMAN (REVENUE CYCLE MANAGER)
(443) 849-8302
Entity
Organization
Contact information
Practice address
2000 MEDICAL PKWY STE 607, ANNAPOLIS, MD 21401-3748
(443) 846-0355
Mailing address
11311 MCCORMICK RD STE 350, HUNT VALLEY, MD 21031-8618
(443) 846-0355
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
06/05/2023
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