| Reaching Infinity Llc | |
|
7015 Ridge Rd Frederick MD 21702-3509 | |
| (240) 446-2363 | |
| Not Available |
| Full Name | Reaching Infinity Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7015 Ridge Rd, Frederick, Maryland |
| Authorized Official Name and Position | Bradley William Meadors (OWNER) |
| Authorized Official Contact | 2404462363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reaching Infinity Llc 7015 Ridge Rd Frederick MD 21702-3509 Ph: (240) 446-2363 | Reaching Infinity Llc 7015 Ridge Rd Frederick MD 21702-3509 Ph: (240) 446-2363 |
| NPI Number | 1710694898 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 6709258866 |
|---|---|
| Medicare Enrollment ID | O20230218000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710694898 | NPI | - | NPPES |
| Provider Name | Bradley Meadors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033874805 PECOS PAC ID: 7517339674 Enrollment ID: I20230218000234 |
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