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Organization
MAXINEPETRONA ULTIMATE CARE ASSISTED LIVING LLC
Active
Organization
MAXINEPETRONA ULTIMATE CARE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAXINE RICHARDO WILSON (ASSISTED LIVING MANAGER)
(929) 385-2731
Entity
Organization
Contact information
Practice address
3817 W COLD SPRING LN, BALTIMORE, MD 21215-5430
(929) 385-2731
Mailing address
3817 W COLD SPRING LN, BALTIMORE, MD 21215-5430
(929) 385-2731
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NULL
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/29/2025
Last updated
11/29/2025
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