Organization
PEACE & GLORY MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA LYNN BROWN - BRISTOL (FOUNDER COE/ EXCUTIVE OFFER)
(410) 922-2617
Entity
Organization
Contact information
Practice address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
(410) 922-4620
Mailing address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
(410) 922-4620
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
03AL1070-A
MD
163WW0000X
Wound Care Registered Nurse
03AL1070-A
MD
347B00000X
Bus
03AL1070-A
MD
347C00000X
Private Vehicle
03AL1070-A
MD
372600000X
Adult Companion
03AL1070-A
MD
3747A0650X
Attendant Care Provider
03AL1070-A
MD
3747P1801X
Personal Care Attendant
03AL1070-A
MD
376K00000X
Nurse's Aide
Primary
03AL1070-A
MD
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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