Organization
MARIAN'S MANOR ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE D MASON (OWNER/ MANAGER)
(443) 205-7543
Entity
Organization
Contact information
Practice address
27 OLD SOUTH RIVER RD, EDGEWATER, MD 21037-1203
(443) 205-7543
(410) 768-3103
Mailing address
27 OLD SOUTH RIVER RD, EDGEWATER, MD 21037-1203
(443) 205-7543
(410) 768-3103
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
02AL0318-A
MD
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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