Organization
CISCO CENTER FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CISCO NOCHERA MS ED (EXECUTIVE DIRECTOR)
(410) 647-1503
Entity
Organization
Contact information
Practice address
350 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-1370
(410) 647-1503
Mailing address
350 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-1370
(410) 647-1503
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
161882
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161882
CHILDCARE LICENSE
MD
Enumeration date
11/07/2014
Last updated
11/07/2014
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