# MARYLAND BAPTIST AGED HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528122363
- **Authorized official:** MICHAEL MORANZ (ADMINSTRATOR)
- **Authorized official phone:** (410) 624-3964

## Contact information

- **Practice address:** 2801 RAYNER AVE, BALTIMORE, MD 21216-4628
- **Practice address phone:** (410) 624-3964
- **Practice address fax:** (410) 233-4906
- **Mailing address:** 2801 RAYNER AVE, BALTIMORE, MD 21216-4628
- **Mailing address phone:** (410) 624-3964
- **Mailing address fax:** (410) 233-4906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 007110 | MD | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 06/21/2018
