Provider Demographics
NPI:1518146299
Name:CECILIA SCORAH, RN
Entity Type:Organization
Organization Name:CECILIA SCORAH, RN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCORAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-656-9520
Mailing Address - Street 1:7910 WOODMONT AVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3002
Mailing Address - Country:US
Mailing Address - Phone:301-656-9520
Mailing Address - Fax:301-934-9321
Practice Address - Street 1:7910 WOODMONT AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3002
Practice Address - Country:US
Practice Address - Phone:301-656-9520
Practice Address - Fax:301-934-9321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR154250163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01893Medicare PIN
MDG01893C01Medicare PIN