Organization
ADORABLE LUCILLE ASSISTANT LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JOHNSON (OWNER)
(443) 944-1835
Entity
Organization
Contact information
Practice address
3917 MARKET ST, SNOW HILL, MD 21863-4413
(443) 944-1835
Mailing address
3917 MARKET ST, SNOW HILL, MD 21863-4413
(443) 944-1835
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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