Organization
PRIORITY ASSISTED LIVING MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM NERRY NKENYEH NUNGU RN (MANAGER)
(240) 602-0785
Entity
Organization
Contact information
Practice address
1104 POPLAR GROVE ST, BALTIMORE, MD 21216-4340
(240) 602-0785
Mailing address
3904 MAINE AVE, BALTIMORE, MD 21207-7420
(240) 602-0785
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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