Organization
ANISA'S TRANSPORTATION VAN SERVICES
Active
Other names
ANISA'S HOME ASSISTED LIVING LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESKA PELAUR LEE I REGISTERED NURSE (OWNER)
(443) 500-9861
Entity
Organization
Contact information
Practice address
7311 LINDEN AVE, BALTIMORE, MD 21206-1233
(443) 500-9861
(410) 668-1959
Mailing address
7311 LINDEN AVE, BALTIMORE, MD 21206-1233
(443) 500-9861
(410) 668-1959
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L-000-789-680-148
MD
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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