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 yesterday at 10:58 AM.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