Act Iv

NPI 1023132230 - Case Management - 251B00000X

NPI Details
NPI 1023132230
Enumeration Date 03/16/2007
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TYRONE TYRONE
Position VOCATIONAL SPECIALIST
Phone (301) 579-2482
Fax
Practice Location
10951 POPLAR RIDGE ROAD
BRANDYWINE MD, 20613, US
Phone (301) 579-2482
Fax
Business Location
19051 POPLAR RIDGE RD
BRANDYWINE MD, 20613-3910, US
Phone (301) 579-2482
Fax
Toxanomy
Taxonomy Code 251B00000X
License State Maryland
License Number F206809018964
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According to our database, Act Iv NPI is 1023132230, taxonomy code is 251B00000X and license number is F206809018964, license state is located at Maryland. Act Iv physically located at 10951 Poplar Ridge Road, Brandywine MD, 20613. NPI Number 1033115704 has the healthcare provider type.

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1023132230 NPI number is provided on an as is basis without warranty of any kind. 1023132230 is maintained by the National Plan & Provider Enumeration System. The contents of Act Iv are for informational purposes only.