Organization
CMU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A VERANO (CFO)
(717) 441-7033
Entity
Organization
Contact information
Practice address
1349 CUMBERLAND ST, LEBANON, PA 17042-4504
(717) 644-9600
Mailing address
1100 S CAMERON ST STE 1, HARRISBURG, PA 17104-2547
(717) 441-7033
(717) 232-9350
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000024470016
—
PA
Enumeration date
05/09/2018
Last updated
05/24/2018
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