Healthcare Provider Details

I. General information

NPI: 1891616967
Provider Name (Legal Business Name): SHEDRICK FAMILY WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E MAIN ST STE 603
SALISBURY MD
21801-5137
US

IV. Provider business mailing address

100 E MAIN ST STE 603
SALISBURY MD
21801-5137
US

V. Phone/Fax

Practice location:
  • Phone: 443-438-5612
  • Fax:
Mailing address:
  • Phone: 443-438-5612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. BEATRICE SHEDRICK
Title or Position: OWNER
Credential:
Phone: 443-438-5612