Provider Demographics
NPI:1700635364
Name:MORROW, CHELCIE MADISON
Entity type:Individual
Prefix:
First Name:CHELCIE
Middle Name:MADISON
Last Name:MORROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19204 LEGISTAIVE RD SW APT 4
Mailing Address - Street 2:
Mailing Address - City:BARTON
Mailing Address - State:MD
Mailing Address - Zip Code:21521
Mailing Address - Country:US
Mailing Address - Phone:304-790-1250
Mailing Address - Fax:
Practice Address - Street 1:19204 LEGISTAIVE RD SW APT 4
Practice Address - Street 2:
Practice Address - City:BARTON
Practice Address - State:MD
Practice Address - Zip Code:21521
Practice Address - Country:US
Practice Address - Phone:304-790-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant