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Organization

MT. EPHRAIM NONPROFIT COMM DEVEL CORP

Active
Other names
Jos. A. Gilmore Sr Adult Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
NURIA ALVAREZ (COMPLIANCE OFFICER)
(301) 808-9808
Entity
Organization

Contact information

Practice address
608 LARGO RD, GILMORE ADULT CARE CENTER, UPPER MARLBORO, MD 20774-2122
(301) 808-9808
Mailing address
608 LARGO RD, GILMORE ADULT CARE CENTER, UPPER MARLBORO, MD 20774-2122
(301) 808-9808

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
311ZA0620X
Adult Care Home Facility
14024
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4791011 00
MD
Enumeration date
04/19/2007
Last updated
03/17/2022
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