MEDICARE: CHFAM, LLC

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1528466208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHFAM, LLC

Provider Business Mailing Address
First Line	:	2711 CENTERVILLE RD
Second Line	:	SUITE 400
City	:	WILMINGTON
State	:	DE
Zip	:	19808-1660
Country	:	US
Telephone Number	:	800-760-8611
Fax Number	:	302-391-2600

Provider Business Practice Location Address
First Line	:	2711 CENTERVILLE RD
Second Line	:	SUITE 400
City	:	WILMINGTON
State	:	DE
Zip	:	19808-1660
Country	:	US
Telephone Number	:	800-760-8611
Fax Number	:	302-391-2600

Authorized Official
Title or Position	:	MEMBER MANAGER
Name	:	GEORGE W. PIERCE
Credential	:
Telephone Number	:	800-760-8611

Provider Enumeration Date	:	12/12/2014
Last Update Date	:	12/12/2014

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Directions to “CHFAM, LLC ” Practice Location

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