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Organization
LITTLE SISTERS OF THE POOR BALTIMORE INC
Active
Organization
LITTLE SISTERS OF THE POOR BALTIMORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER JOSEPH GRENON RN 35726 (ASSISTANT ADMINISTRATOR)
(410) 744-9367
Entity
Organization
Contact information
Practice address
601 MAIDEN CHOICE LN, ST MARTINS HOME, BALTIMORE, MD 21228-3630
(410) 744-9367
(410) 744-6380
Mailing address
601 MAIDEN CHOICE LN, ST MARTINS HOME, BALTIMORE, MD 21228-3630
(410) 744-9367
(410) 744-6380
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
21D0649848
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032707700
—
MD
01
—
215354
MEDICARE PTAN
MD
01
—
21D0649848
CLIA
MD
Enumeration date
10/12/2005
Last updated
10/27/2016
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