Organization
EASTER SEALS DELAWARE & MARYLAND'S EASTERN SHORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P MILLER (VICE PRESIDENT - FINANCE)
(302) 221-2034
Entity
Organization
Contact information
Practice address
22242 BAY SHORE RD, CHESTERTOWN, MD 21620-4407
(410) 778-0566
Mailing address
22242 BAY SHORE RD, CHESTERTOWN, MD 21620-4407
(410) 778-0566
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8746061 00
—
MD
Enumeration date
07/21/2015
Last updated
07/21/2015
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