Organization
AMERISTAR ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILFRED KANDIE CHEMWEI KANDIE (ADMINISTRATOR)
(301) 474-7840
Entity
Organization
Contact information
Practice address
6604 ADRIAN ST, NEW CARROLLTON, MD 20784-3610
(301) 474-7840
Mailing address
6604 ADRIAN ST, NEW CARROLLTON, MD 20784-3610
(301) 474-7840
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
16AL1059-B
MD
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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