Organization
LOCH RAVEN CLC
Active
Other names
VETERANS AFFAIRS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONDRA HARDY OTUKOYA CTRS (RECREATION RECREATION)
(410) 605-7000
Entity
Organization
Contact information
Practice address
3900 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2108
(410) 605-7000
(410) 605-7589
Mailing address
3900 LOCH RAVEN BLVD., BALTIMORE, MD 21218
(410) 605-7000
(410) 605-7589
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
16012
MD
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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