Provider Demographics
NPI:1154521359
Name:CHESTER RIVER HOME CARE & HOSPICE
Entity type:Organization
Organization Name:CHESTER RIVER HOME CARE & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-778-1049
Mailing Address - Street 1:6602 CHURCH HILL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-2310
Mailing Address - Country:US
Mailing Address - Phone:410-778-1049
Mailing Address - Fax:410-778-7399
Practice Address - Street 1:6602 CHURCH HILL RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-2310
Practice Address - Country:US
Practice Address - Phone:410-778-1049
Practice Address - Fax:410-778-7399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based