Organization
CMU
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, SUITE 1, HARRISBURG, PA 17104-2547
(717) 232-8761
Mailing address
1100 S CAMERON ST, SUITE 1, HARRISBURG, PA 17104-2547
(717) 232-8761
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000024470014
—
PA
Enumeration date
02/15/2007
Last updated
06/27/2016
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