Organization
CONCERTED CARE GROUP MANAGEMENT LLC
Active
Other names
CCG MANAGMEN, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA WAHL RN, MA (COO)
(667) 239-3205
Entity
Organization
Contact information
Practice address
1034 BRENTWOOD AVE, BALTIMORE, MD 21202-4203
(410) 617-0142
(443) 873-6975
Mailing address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(410) 617-0142
(443) 873-6975
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
06/16/2017
Last updated
06/16/2017
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