NPI 1639475809

Loch Raven Clc

Organisation Rehabilitation Hospital Unit Baltimore, MD

Practice location

Address: 3900 Loch Raven Blvd, Baltimore, MD 21218-2108
Phone: (410) 605-7000
Fax: (410) 605-7589
Mailing address: 3900 Loch Raven Blvd., Baltimore, MD 21218

Authorised official

Name: Sondra Hardy Otukoya
Title: Recreation Recreation
Phone: (410) 605-7000

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X Licence 16012 (MD)

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Registry record

NPI: 1639475809
Entity type: Organization
NPI issued: 4 Feb 2011
Record last updated: 4 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.