OrganizationBt Restoration & Healing Center Inj LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1140 Opal Ct, Hagerstown, MD 21740-5940(240) 422-7774PECOS EnrollmentBased on the most recent information from CMS, provider Bt Restoration & Healing Center Inj Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982346714Provider TypeOrganizationFull NameBt Restoration & Healing Center Inj LlcSubpartNoEnumeration Date4/12/2022Last Updated7/13/2023Contact InformationPractice LocationPractice Address1140 Opal Ct, Hagerstown, MD 21740-5940Phone(240) 422-7774FaxUnlisted FaxMailing LocationMailing Address1140 Opal Ct, Hagerstown, MD 21740-5940Phone(240) 422-7774FaxUnlisted FaxAuthorized OfficialNameTchatchoua, Carole (President)Phone(240) 422-7774Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode261QC1500XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode363LA2200XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer