Organization
GILMO RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GILLIAN ISIDAHOMEN BS (ADMINISTRATOR)
(410) 963-2559
Entity
Organization
Contact information
Practice address
4803 HAWKSBURY RD, PIKESVILLE, MD 21208-2142
(410) 963-2559
(410) 521-0579
Mailing address
4803 HAWKSBURY RD, PIKESVILLE, MD 21208-2142
(410) 963-2559
(410) 521-0579
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
R2762
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R2762
DHMH
MD
Enumeration date
09/14/2009
Last updated
09/14/2009
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