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NPI Code Detail

MEDICARE: SISTERS TOGETHER AND REACHING, INC.

MEDICARE: SISTERS TOGETHER AND REACHING, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management AgencyMD

General Provider Information

NPI Number : 1225436108
Entity Type Code : Organization
Provider Name (Legal Business Name) : SISTERS TOGETHER AND REACHING, INC.
Provider Business Mailing Address
First Line : 901 N MILTON AVE
Second Line : SUITE 260
City : BALTIMORE
State : MD
Zip : 21205-1316
Country : US
Telephone Number : 410-276-8969
Fax Number :
Provider Business Practice Location Address
First Line : 901 N MILTON AVE
Second Line : SUITE 260
City : BALTIMORE
State : MD
Zip : 21205-1316
Country : US
Telephone Number : 410-276-8969
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DEBRA HICKMAN
Credential :
Telephone Number : 410-276-8969
Provider Enumeration Date : 12/09/2014
Last Update Date : 12/09/2014

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Directions to “SISTERS TOGETHER AND REACHING, INC. ” Practice Location

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