Organization
LIFE OF RESSURECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DICKEY (OWNER)
(443) 381-5464
Entity
Organization
Contact information
Practice address
4415 BUCHANAN AVE, BALTIMORE, MD 21211-1204
(443) 381-5464
Mailing address
4415 FALLS RD, BALTIMORE, MD 21211-1330
(443) 381-5464
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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