Organization
COLUMBIA VANTAGE HOUSE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRMA CHAPIN (AUTHORIZED OFFICIAL)
(410) 381-0533
Entity
Organization
Contact information
Practice address
5400 VANTAGE POINT RD, COLUMBIA, MD 21044-2681
(410) 964-5454
Mailing address
5400 VANTAGE POINT RD, COLUMBIA, MD 21044-2681
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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