Organization
HEALTHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HERB RN (LOCAL RN CARE COORDINATORS)
(410) 628-1258
Entity
Organization
Contact information
Practice address
11 FAWN RIDGE CT, REISTERSTOWN, MD 21136-5654
(410) 628-1258
Mailing address
11 FAWN RIDGE CT, REISTERSTOWN, MD 21136-5654
(410) 628-1258
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
R177713
MD
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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