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Organization

WINGS OF FAITH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA J. SHAW RN (OWNER)
(843) 202-9888
Entity
Organization

Contact information

Practice address
123 CONTINENTAL DR, ELKTON, MD 21921-6107
(443) 406-7458
(443) 406-7458
Mailing address
123 CONTINENTAL DR, ELKTON, MD 21921-6107
(843) 202-9888
(443) 406-7458

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/10/2012
Last updated
08/10/2012
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