MEDICARE: TOTAL HEALTH RESOURCES, INC.

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	251S00000X	Community/Behavioral Health Agency	903878	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639457302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEALTH RESOURCES, INC.

Provider Business Mailing Address
First Line	:	1717 ELTON RD
Second Line	:	SUITE 210
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1703
Country	:	US
Telephone Number	:	301-439-7200
Fax Number	:	301-439-5556

Provider Business Practice Location Address
First Line	:	1717 ELTON RD
Second Line	:	SUITE 210
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1703
Country	:	US
Telephone Number	:	301-439-7200
Fax Number	:	301-439-5556

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ROSENIR MUNIZ GERACI
Credential	:	LCSW-C
Telephone Number	:	301-439-7200

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	08/08/2014

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