Provider Demographics
NPI:1144268848
Name:COORDINATING CENTER FOR HOME AND COMMUNITY CARE, INC.
Entity type:Organization
Organization Name:COORDINATING CENTER FOR HOME AND COMMUNITY CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LICHTENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-987-1048
Mailing Address - Street 1:8258 VETERANS HWY
Mailing Address - Street 2:STE 13
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1457
Mailing Address - Country:US
Mailing Address - Phone:410-987-1048
Mailing Address - Fax:410-987-1685
Practice Address - Street 1:8258 VETERANS HWY
Practice Address - Street 2:STE 13
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1457
Practice Address - Country:US
Practice Address - Phone:410-987-1048
Practice Address - Fax:410-987-1685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management