Organization
EXCEPTIONAL CARE LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA FAYTHE ROSS (PRESIDENT & CEO)
(443) 686-2994
Entity
Organization
Contact information
Practice address
1806 EDMONDSON AVE, BALTIMORE, MD 21223-1225
(443) 686-2994
Mailing address
10 SERPENS CT, ROSEDALE, MD 21237-2323
(443) 686-2994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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