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NPI Code Detail

MEDICARE: THE TRANSITION CARE NETWORK LLC

MEDICARE: THE TRANSITION CARE NETWORK LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1861271009
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE TRANSITION CARE NETWORK LLC
Provider Business Mailing Address
First Line : 6041 OTTERBEIN LN APT 408
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-7599
Country : US
Telephone Number : 443-465-1901
Fax Number :
Provider Business Practice Location Address
First Line : 6041 OTTERBEIN LN APT 408
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-7599
Country : US
Telephone Number : 443-465-1901
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : SHONTEL GASKIN
Credential : LCSW-C
Telephone Number : 443-465-1901
Provider Enumeration Date : 09/26/2023
Last Update Date : 12/21/2023

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Directions to “THE TRANSITION CARE NETWORK LLC ” Practice Location

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