Provider Demographics
NPI:1720395502
Name:CHANGING TURN COMMUNITY HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:CHANGING TURN COMMUNITY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO; PRP PROGRAM COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHAUNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-402-0172
Mailing Address - Street 1:500 EDGEWOOD RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-2737
Mailing Address - Country:US
Mailing Address - Phone:443-402-0172
Mailing Address - Fax:443-922-7839
Practice Address - Street 1:500 EDGEWOOD RD
Practice Address - Street 2:SUITE 210
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-2737
Practice Address - Country:US
Practice Address - Phone:443-402-0172
Practice Address - Fax:443-922-7839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care