MEDICARE: HEALTHWAYS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0800X	Recovery Care Clinic/Center	R138763	MD

General Provider Information

NPI Number	:	1285912352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHWAYS

Provider Business Mailing Address
First Line	:	11908 MAHER DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11908 MAHER DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5938
Country	:	US
Telephone Number	:	301-292-7252
Fax Number	:

Authorized Official
Title or Position	:	LCC
Name	:	MS. SANDRA CARTER PYANT
Credential	:	NURSE
Telephone Number	:	301-292-7252

Provider Enumeration Date	:	07/23/2011
Last Update Date	:	07/23/2011

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Directions to “HEALTHWAYS ” Practice Location

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