Provider Demographics
NPI:1316968597
Name:NEW HORIZON WOMEN'S CARE, LLC
Entity type:Organization
Organization Name:NEW HORIZON WOMEN'S CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:LILITA
Authorized Official - Last Name:FARRIOR
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:410-601-6700
Mailing Address - Street 1:6319 RED CEDAR PL
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3829
Mailing Address - Country:US
Mailing Address - Phone:410-601-6700
Mailing Address - Fax:410-601-6698
Practice Address - Street 1:5400 OLD COURT RD
Practice Address - Street 2:SUITE 302
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-5100
Practice Address - Country:US
Practice Address - Phone:410-521-3636
Practice Address - Fax:410-521-6879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD400MMedicare PIN