Organization
NEW LIFE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN GARRETT THOMAS (PRESIDENT)
(410) 926-0419
Entity
Organization
Contact information
Practice address
6901 SCARLET OAKS DR, ELKRIDGE, MD 21075-6241
(410) 796-8602
(410) 796-8807
Mailing address
6901 SCARLET OAKS DR, ELKRIDGE, MD 21075-6241
(410) 796-8602
(410) 796-8807
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13AL180-F
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410607500
MEDICARE PROVIDER NUMBER
MD
Enumeration date
09/04/2013
Last updated
09/04/2013
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