Organization
SHEDRICK FAMILY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE SHEDRICK (OWNER)
(443) 509-2159
Entity
Organization
Contact information
Practice address
1216 WALTERS AVE, BALTIMORE, MD 21239-2826
(443) 483-5612
Mailing address
1216 WALTERS AVE, BALTIMORE, MD 21239-2826
(443) 483-5612
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99821700
—
MD
Enumeration date
10/11/2022
Last updated
01/26/2024
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