Provider Demographics
NPI:1033852876
Name:ALLEGANY COUNTY HRDC MOBILITY MANAGEMENT
Entity Type:Organization
Organization Name:ALLEGANY COUNTY HRDC MOBILITY MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MOBILITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-783-1725
Mailing Address - Street 1:125 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3952
Mailing Address - Country:US
Mailing Address - Phone:301-783-1725
Mailing Address - Fax:
Practice Address - Street 1:125 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3952
Practice Address - Country:US
Practice Address - Phone:301-783-1725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLEGANY COUNTY HUMAN RESOURCES COMISSION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-19
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker