Organization
LILLY'S QUALITY CARE ASSISTED LIVING 2, LLC
Active
Other names
Lilly's Quality Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE JOHNSON-NESMITH RN (CEO/DN)
(443) 622-5050
Entity
Organization
Contact information
Practice address
5323 WESLEY AVE, BALTIMORE, MD 21207-8194
(443) 200-5636
(667) 200-0673
Mailing address
5323 WESLEY AVE, BALTIMORE, MD 21207-8194
(443) 200-5636
(667) 200-0673
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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