Eastern Shore Brokers, LLC
Case Management in Whaleyville, MD. Organization (NPI-2).
NPI number1669988515
StatusActive
Last updated in NPPESDec 14, 2017
Details
- NPI
- 1669988515
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastern Shore Brokers, LLC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2017
- Last updated
- Dec 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
12641 Blueberry RdWhaleyville, MD 21872-2013
Phone 410-726-2967
Mailing address
Po Box 123Whaleyville, MD 21872-0123
Authorized official
Cynthia Truitt
Owner/Case Management
4436148873
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