| Frh4 Llc | |
|
120 Washington Ave Chestertown MD 21620-1616 | |
| (240) 626-4933 | |
| Not Available |
| Full Name | Frh4 Llc |
|---|---|
| Speciality | Lodging |
| Location | 120 Washington Ave, Chestertown, Maryland |
| Authorized Official Name and Position | Tabitha Groce (DIRECTOR) |
| Authorized Official Contact | 2406264933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frh4 Llc 29388 Golton Dr Easton MD 21601-4405 Ph: (240) 626-4933 | Frh4 Llc 120 Washington Ave Chestertown MD 21620-1616 Ph: (240) 626-4933 |
| NPI Number | 1952112237 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952112237 | NPI | - | NPPES |
| 1000137610 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 177F00000X | Lodging | (* (Not Available)) | Primary |
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