Organization
HOLBROCK ESTATES AT 1638 RUXTON AVENUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON HOLMES (CEO)
(667) 400-0602
Entity
Organization
Contact information
Practice address
1638 RUXTON AVE, BALTIMORE, MD 21216-3715
(443) 539-8508
(443) 539-8508
Mailing address
301 S CONKLING ST STE 1, BALTIMORE, MD 21224-2460
(443) 539-8508
(443) 539-8508
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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