Provider Demographics
NPI:1922588136
Name:SHILOH CENTER LLC
Entity Type:Organization
Organization Name:SHILOH CENTER LLC
Other - Org Name:ANNAPOLIS MUSIC THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND DIRECTOR OF SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:SHILOH
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:410-697-1812
Mailing Address - Street 1:1907 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4118
Mailing Address - Country:US
Mailing Address - Phone:410-697-1812
Mailing Address - Fax:
Practice Address - Street 1:1907 LINCOLN DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4118
Practice Address - Country:US
Practice Address - Phone:410-697-1812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty