Organization
VICE PRESTIGE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANDICE MOORE RN (OWNER)
(443) 400-7240
Entity
Organization
Contact information
Practice address
5 GWYNNS MILL CT STE A, OWINGS MILLS, MD 21117-3529
(443) 934-8721
Mailing address
5 GWYNNS MILL CT STE A, OWINGS MILLS, MD 21117-3529
(443) 400-7240
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
11/09/2022
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