Marlea Manor Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

30AL1440 Issued in MD

Legal business name

MARLEA MANOR ASSISTED LIVING

Practice address

4405 Raspe Ave
Baltimore, MD 21206-1926

Phone

(410) 488-3135

Fax

(410) 488-3135

NPI assigned

Jun 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Brian King

Title

Owner

Phone

(410) 592-8418

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1609072735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11106 TOWOOD RD",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871738",
            "telephone_number": "410-592-8418",
            "fax_number": "410-592-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 RASPE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061926",
            "telephone_number": "410-488-3135",
            "fax_number": "410-488-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLEA MANOR ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-592-8418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "30AL1440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Francine Marks, LCSW-C
• Lauren Marks, LCSW-C
• Madeline R Marks, PH.D.
• Naomi Ayala Marks
• William Marks
• Barbara Marley, LCSW-C
• Kristen Marll
• Suzanna Marlow, M.S., CCC-SLP
• Andrea Marlowe, M.A., CCC-A
• Claire Marmen, PT

• Assisted Living Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.