Organization
HOLBROCK ESTATES AT THE MARTIN DE PORRES CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON HOLMES JR. (CEO)
(437) 085-0564
Entity
Organization
Contact information
Practice address
908 VALLEY ST, BALTIMORE, MD 21202-5460
(443) 708-5056
Mailing address
3310 EASTERN AVE, BALTIMORE, MD 21224-4108
(443) 708-5056
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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