Organization
ALL WALKS OF LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD ESSNER TALIAFERRO IV (CEO)
(410) 984-9978
Entity
Organization
Contact information
Practice address
107 E 25TH ST, BALTIMORE, MD 21218-5213
(410) 558-0032
(410) 366-2108
Mailing address
6133 MARLORA RD, BALTIMORE, MD 21239-1929
(410) 984-9978
(410) 552-8804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
411131100
MD
251S00000X
Community/Behavioral Health Agency
411132000
MD
251S00000X
Community/Behavioral Health Agency
411133800
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411131100
—
MD
05
—
411132000
—
MD
05
—
411133800
—
MD
Enumeration date
05/03/2007
Last updated
05/12/2016
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