Organization
EASTERN SHORE BROKERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TRUITT (OWNER/CASE MANAGEMENT)
(443) 614-8873
Entity
Organization
Contact information
Practice address
12641 BLUEBERRY RD, WHALEYVILLE, MD 21872-2013
(410) 726-2967
Mailing address
PO BOX 123, WHALEYVILLE, MD 21872-0123
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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