Marian's Manor Alternative Living and Community Resources, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

DD0386 Issued in MD

Legal business name

MARIAN'S MANOR ALTERNATIVE LIVING AND COMMUNITY RESOURCES, INC

Doing business as

Marian's Manor ALU

Practice address

7452 Baltimore Annapolis Blvd
Ste 201B
Glen Burnie, MD 21061-3547

Phone

(443) 324-3595

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Jacqueline Mason

Title

Owner/ Ceo

Phone

(443) 324-3595

Specialties & licenses 1

Addresses

Other names 1

• Marian's Manor ALU Doing business as

Locations

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1659811867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 OLD SOUTH RIVER RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371203",
            "telephone_number": "443-324-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7452 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "STE 201B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613547",
            "telephone_number": "443-324-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN'S MANOR ALTERNATIVE LIVING AND COMMUNITY RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "443-324-3595"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MD",
            "license": "DD0386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marian's Manor ALU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.