Organization
BROTHERS' ASSISTED LIVING LLC
Active
Other names
Victorian Estates Assisted Linving
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HUMES (CO-OWNER)
(443) 504-2059
Entity
Organization
Contact information
Practice address
144 N. HICKORY AVE, BEL AIR, MD 21014
(410) 893-9164
(410) 893-0775
Mailing address
P.O. BOX 753, BEL AIR, MD 21014
(443) 504-2059
(410) 893-0775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12AL0138-A
MD
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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