Organization
JETD
Active
Other names
Renaissance Adult Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH SHPARGA (PRESIDENT)
(410) 528-8730
Entity
Organization
Contact information
Practice address
1017 REISTERSTOWN RD, PIKESVILLE, MD 21208-4207
(410) 580-9301
(410) 580-9305
Mailing address
1915 MARYLAND AVE, BALTIMORE, MD 21218-5916
(410) 528-8730
(410) 528-8733
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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