Organization
TEAM 2
Active
Other names
Phoenix Adult medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SHPARAGA (VICE PRESIDENT)
(443) 278-9290
Entity
Organization
Contact information
Practice address
4147 LABYRINTH RD, BALTIMORE, MD 21215-2202
(443) 278-9290
(443) 278-9000
Mailing address
4147 LABYRINTH RD, BALTIMORE, MD 21215-2202
(443) 278-9290
(443) 278-9000
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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