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Organization

PIKESVILLE ADULT DAY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLEVELAND SMITH (ASSIST DIRECTOR)
(410) 601-2935
Entity
Organization

Contact information

Practice address
133 SLADE AVE, BALTIMORE, MD 21208-4907
(410) 653-3933
Mailing address
2434 W BELVEDERE AVE, BALTIMORE, MD 21215-5202
(410) 466-8700

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
0575
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272753600
MD
Enumeration date
01/31/2007
Last updated
04/24/2008
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