Organization
MNR INDUSTRIES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAVIANNA BOST (CREDENTIALING COORDINATOR)
(410) 420-6970
Entity
Organization
Contact information
Practice address
835 E FORT AVE, BALTIMORE, MD 21230-5117
(667) 406-1517
(667) 406-1526
Mailing address
1505 E CHURCHVILLE RD, BEL AIR, MD 21014-4742
(410) 420-6970
(410) 420-6650
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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