Organization
COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANUARY LEVERE-WANZER (CEO)
(240) 459-8423
Entity
Organization
Contact information
Practice address
8101 SANDY SPRING RD STE 250IJK, LAUREL, MD 20707-3596
(240) 459-8423
(419) 931-9255
Mailing address
8101 SANDY SPRING RD STE 250IJK, LAUREL, MD 20707-3596
(240) 459-8423
(419) 931-9255
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
4647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423285200
—
MD
05
—
8216011-00
—
MD
Enumeration date
03/08/2016
Last updated
06/04/2020
Update your record
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