Healthcare Provider Details

I. General information

NPI: 1780190496
Provider Name (Legal Business Name): HUDSON HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2017
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 BROAD ST
SALISBURY MD
21801-4955
US

IV. Provider business mailing address

1505 EMERSON AVE
SALISBURY MD
21801-3220
US

V. Phone/Fax

Practice location:
  • Phone: 410-219-9000
  • Fax: 410-677-3999
Mailing address:
  • Phone: 410-219-9000
  • Fax: 410-742-7048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberBH000046
License Number StateMD

VIII. Authorized Official

Name: LEAH EVANS
Title or Position: DIRECTOR OF COMPLIANCE
Credential:
Phone: 410-219-9000