Provider Demographics
NPI:1255017299
Name:CITY AND COUNTY HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:CITY AND COUNTY HEALTHCARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ONOCHIE
Authorized Official - Last Name:ONWULI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:667-228-9295
Mailing Address - Street 1:3514 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6252
Mailing Address - Country:US
Mailing Address - Phone:667-228-9295
Mailing Address - Fax:443-850-1050
Practice Address - Street 1:3514 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-6252
Practice Address - Country:US
Practice Address - Phone:443-850-1050
Practice Address - Fax:667-228-9295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health