A Providence Medical Adult Day Care Inc
Organization Active NPI Adult Day Care Clinic/Center · Baltimore, MD
NPI 1669735445 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1669735445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- License
- 30-023-A (MD)
- Legal business name
- A PROVIDENCE MEDICAL ADULT DAY CARE INC
- Practice address
- 800 S Caton Ave
Baltimore, MD 21229-4210 - Phone
- (418) 889-0727
- Fax
- (410) 523-1502
- NPI assigned
- Jun 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Annie Garmai Wright
- Title
- Center Director
- Phone
- (410) 889-0727
National Provider Directory
Locations
800 S Caton Ave
Baltimore, MD 21229
Phone (410) 878-0917
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 30-023-A | MD | Yes |
Addresses
Primary practice location
800 S Caton Ave
Baltimore, MD 21229-4210
Mailing address
800 S Caton Ave
Baltimore, MD 21229-4210
Phone (410) 889-0727
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.