Provider Demographics
NPI:1528466208
Name:CHFAM, LLC
Entity type:Organization
Organization Name:CHFAM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-760-8611
Mailing Address - Street 1:2711 CENTERVILLE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1660
Mailing Address - Country:US
Mailing Address - Phone:800-760-8611
Mailing Address - Fax:302-391-2600
Practice Address - Street 1:2711 CENTERVILLE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1660
Practice Address - Country:US
Practice Address - Phone:800-760-8611
Practice Address - Fax:302-391-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty