Provider Demographics
NPI:1518224609
Name:SOMERSET COMMUNIT SERVICES
Entity Type:Organization
Organization Name:SOMERSET COMMUNIT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:S
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-623-2261
Mailing Address - Street 1:5574 TULLS CORNER RD
Mailing Address - Street 2:P.O. BOX 18
Mailing Address - City:MARION
Mailing Address - State:MD
Mailing Address - Zip Code:21838-2521
Mailing Address - Country:US
Mailing Address - Phone:410-623-2261
Mailing Address - Fax:
Practice Address - Street 1:5574 TULLS CORNER RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MD
Practice Address - Zip Code:21838-2521
Practice Address - Country:US
Practice Address - Phone:410-623-2261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0057320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities