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Organization
LOCH RAVEN CLC
Active
Organization
LOCH RAVEN CLC
Active
Other names
VETERANS AFFAIRS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONDRA HARDY OTUKOYA CTRS (RECREATION RECREATION)
(410) 605-7000
Entity
Organization
Contact information
Practice address
3900 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2108
(410) 605-7000
(410) 605-7589
Mailing address
3900 LOCH RAVEN BLVD., BALTIMORE, MD 21218
(410) 605-7000
(410) 605-7589
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
16012
MD
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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