Organization
LUMINIS HEALTH GILCHRIST LIFECARE INSTITUTE, LLC
Active
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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