Organization
EXECUTIVE CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE KING (MANAGER)
(443) 602-4968
Entity
Organization
Contact information
Practice address
4006 BELLE AVE, BALTIMORE, MD 21215-4916
(443) 602-4968
Mailing address
4006 BELLE AVE, BALTIMORE, MD 21215-4916
(443) 602-4968
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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