Organization
PRIDE ASSISTED LIVING, LLC
Active
Other names
Pride Assisted Living, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IESHIA LATOYA CLARK (OWNER/MANAGER)
(443) 814-7882
Entity
Organization
Contact information
Practice address
1003 WHATCOAT ST, BALTIMORE, MD 21217-2220
(443) 708-3017
Mailing address
1003 WHATCOAT ST, BALTIMORE, MD 21217-2220
(443) 708-3017
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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