PHR OF BALTIMORE INC NPI 1871778944

NPI Information

PHR OF BALTIMORE INC is a hospice care community based in Baltimore, MD. PHR OF BALTIMORE INC NPI is 1871778944. The provider is registered as an organization entity type.

The provider's business location address is:

1501 S EDGEWOOD ST
SUITE A
BALTIMORE, MD
ZIP 21227-071
Phone: (410) 368-2825

The provider's authorized official is Brian Clemens .
The authorized official title is Vp - Finance and has the following contact phone number (703) 752-8710.

The CLIA number assigned to this NPI record is 21D0691133 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 10/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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