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Organization

CASE MANAGEMENT UNIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK VERANO (CFO)
(717) 232-8761
Entity
Organization

Contact information

Practice address
1100 S CAMERON ST, BLENDED CASE MANAGEMENT, HARRISBURG, PA 17104-2547
(717) 232-8761
Mailing address
1100 S CAMERON ST, BLENDED CASE MANAGEMENT, HARRISBURG, PA 17104-2547
(717) 232-8761

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000024470011
PA
05
1000024470015
PA
Enumeration date
02/15/2007
Last updated
07/30/2014
Update your record

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