Individual
TIFFANIE ROUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5503 SAGRA RD, BALTIMORE, MD 21239-3311
(410) 553-7942
(248) 749-4891
Mailing address
5503 SAGRA RD, BALTIMORE, MD 21239-3311
(410) 553-7942
(248) 749-4891
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-01163
MD
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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