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Organization
CARE COORDINATION
Active
Organization
CARE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE COLES (EXECUTIVE DIRECTOR)
(443) 813-1144
Entity
Organization
Contact information
Practice address
3101 SHANNON DR, BALTIMORE, MD 21213-1758
(443) 813-1144
Mailing address
3101 SHANNON DR, BALTIMORE, MD 21213-1758
(443) 813-1144
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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