Organization
CUMBERLAND COVENANT HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE L ROOT (CEO)
(301) 722-6681
Entity
Organization
Contact information
Practice address
11810 BEDFORD RD NE, CUMBERLAND, MD 21502-6990
(301) 722-6881
(301) 722-6690
Mailing address
11810 BEDFORD RD NE, CUMBERLAND, MD 21502-6990
(301) 722-6681
(301) 722-6690
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
10570
MD
Other
Enumeration date
04/11/2007
Last updated
05/03/2019
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