Organization
LEOLA PINKETT 'S ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEOLA PINKETT (HEALTH CARE PROVIDER)
(410) 336-5394
Entity
Organization
Contact information
Practice address
1643 SHERWOOD AVE, BALTIMORE, MD 21239-2411
(410) 336-5394
(410) 464-6051
Mailing address
1701 LYDONLEA WAY, 1643 SHERWOOD AVE, BALTIMORE, MD 21239-3101
(410) 336-5394
(410) 464-6051
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
MD
253Z00000X
In Home Supportive Care Agency
253Z00000X
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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