Organization
MARIAN'S MANOR ALTERNATIVE LIVING AND COMMUNITY RESOURCES, INC
Active
Other names
Marian's Manor ALU
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MASON (OWNER/ CEO)
(443) 324-3595
Entity
Organization
Contact information
Practice address
7452 BALTIMORE ANNAPOLIS BLVD, STE 201B, GLEN BURNIE, MD 21061-3547
(443) 324-3595
Mailing address
27 OLD SOUTH RIVER RD, EDGEWATER, MD 21037-1203
(443) 324-3595
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
DD0386
MD
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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