Organization
LIFETIME SERENITY ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONOVAN PARKES MD (PHYSICIAN)
(410) 428-1382
Entity
Organization
Contact information
Practice address
8507 LIBERTY RD, RANDALLSTOWN, MD 21133-4833
(410) 496-9105
(410) 496-9109
Mailing address
3304 MENLO DR, BALTIMORE, MD 21215-3826
(410) 358-4401
(410) 358-4402
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
30AL3431-A
MD
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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