MEDICARE: I CAN'T WE CAN 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
1	324500000X	Substance Abuse Rehabilitation Facility		MD

General Provider Information

NPI Number	:	1992778096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I CAN'T WE CAN INC.

Provider Business Mailing Address
First Line	:	4637 PARK HEIGHTS AVE
Second Line	:	SUITE 104
City	:	BALTIMORE
State	:	MD
Zip	:	21215-6331
Country	:	US
Telephone Number	:	410-728-4491
Fax Number	:	410-728-5942

Provider Business Practice Location Address
First Line	:	4637 PARK HEIGHTS AVE
Second Line	:	SUITE 104
City	:	BALTIMORE
State	:	MD
Zip	:	21215-6331
Country	:	US
Telephone Number	:	410-728-4491
Fax Number	:	410-728-5942

Authorized Official
Title or Position	:	C.E.O
Name	:	MR. ISRAEL CASON
Credential	:
Telephone Number	:	410-728-4491

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	07/21/2022

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Directions to “I CAN'T WE CAN INC. ” Practice Location

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