Provider Demographics
NPI:1972203008
Name:MULTI-DIMENSIONAL COMMUNITY HEALTH SERVICES INC
Entity Type:Organization
Organization Name:MULTI-DIMENSIONAL COMMUNITY HEALTH SERVICES INC
Other - Org Name:MDCH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE M.
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-449-9991
Mailing Address - Street 1:3822 COLLIER RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-3306
Mailing Address - Country:US
Mailing Address - Phone:443-449-9991
Mailing Address - Fax:
Practice Address - Street 1:3822 COLLIER RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-3306
Practice Address - Country:US
Practice Address - Phone:443-449-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care