Organization
GREAT HEARTS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER ADGERSON (OWNER/DELEGATING NURSE)
(202) 615-3377
Entity
Organization
Contact information
Practice address
1105 N STOCKTON ST, BALTIMORE, MD 21217-2647
(202) 615-3377
Mailing address
1105 N STOCKTON ST, BALTIMORE, MD 21217-2647
(202) 615-3377
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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