Organization
ACHD-MA PERSONAL CARE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE RAVER MD, MPH (HEALTH OFFICER)
(301) 759-5001
Entity
Organization
Contact information
Practice address
12501 WILLOWBROOK RD # 1250, CUMBERLAND, MD 21502-2554
(301) 759-5000
(301) 777-5674
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5000
(301) 777-5674
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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