I probably won't be of much to help to you, but I just moved here to Elkton, MD from PA. I've lived in either PA or DE for most of my life, and I didn't know anything about MD either. I've been here since April, and I've liked it so far. However, I'm having a HUGE issue finding an affordable homebirth midwife. I just discovered that our local hospital here in Elkton, Union, doesn't allow VBAC's, even though I've had two unassisted births since then.
As for natural mama stuff, I haven't really explored this town yet. When I want natural foods/products, I still go to the natural foods store in Newark, which is only about 15 minutes from Elkton. I do LOVE how many parks and bodies of water there are out here. I also love how everything seems to be located right in town.