Healthcare Provider Details

I. General information

NPI: 1376282541
Provider Name (Legal Business Name): POST ACUTE PHYSICIAN PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 06/03/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 W BELVEDERE AVE
BALTIMORE MD
21215-5267
US

IV. Provider business mailing address

2434 W BELVEDERE AVE
BALTIMORE MD
21215-5267
US

V. Phone/Fax

Practice location:
  • Phone: 410-548-2343
  • Fax:
Mailing address:
  • Phone: 410-548-2343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY V FOXWELL
Title or Position: PRESIDENT
Credential:
Phone: 443-477-1607