# MODERN HEALTHCARE FOR THE MODERN ADULT LLC

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

## Provider details

- **NPI number:** 1588593693
- **Authorized official:** BRENDA MILLS-LAYNE (AUTHORIZED OFFICIAL/ OWNER)
- **Authorized official phone:** (301) 602-4896

## Contact information

- **Practice address:** 306 W REDWOOD ST STE 201, BALTIMORE, MD 21201-1708
- **Practice address phone:** (240) 253-6945
- **Mailing address:** 306 W REDWOOD ST STE 201, BALTIMORE, MD 21201-1708
- **Mailing address phone:** (240) 253-6945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2026
- **Last updated:** 05/31/2026