Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1831197953 |
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| LBN Legal business name | COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CAR | ||||||||||||||||
| Authorized official | DIANA BAKER - (BRANCH MANGER PROVIDER RELATIONS) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 07/12/2005 | ||||||||||||||||
| Last updated | 09/07/2010 - About 16 years ago | ||||||||||||||||
| Identifiers |
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