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Organization
STELLA MARIS, INC.
Active
Organization
STELLA MARIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BOWEN (CFO)
(410) 951-1773
Entity
Organization
Contact information
Practice address
2300 DULANEY VALLEY RD, LUTHERVILLE, MD 21093-2739
(410) 560-9695
(410) 560-9675
Mailing address
2300 DULANEY VALLEY RD, LUTHERVILLE, MD 21093-2739
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
311Z00000X
Custodial Care Facility
—
NULL
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NULL
315D00000X
Inpatient Hospice
—
NULL
Other
Enumeration date
09/12/2006
Last updated
03/19/2009
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