Organization
PEACE & GLORY MANOR, INC
Active
Other names
Peace & Glory Manor Medical Adult & Senoir Plus Daycare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA LYNN BROWN - BRISTOL (OWNER)
(443) 386-9959
Entity
Organization
Contact information
Practice address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(443) 389-9959
(410) 922-4620
Mailing address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(443) 386-9959
(410) 922-4620
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
208U00000X
Clinical Pharmacology Physician
—
—
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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