Organization
THE MILLENNIUM ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TENICIA WASHINGTON CRNP (OWNER)
(443) 531-1988
Entity
Organization
Contact information
Practice address
1419 KITMORE RD, BALTIMORE, MD 21239-3410
(443) 531-1988
Mailing address
848 KATHY DIANNE DR, INDIAN LAND, SC 29707-6898
(443) 531-1988
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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