Individual
BRITTANY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2902 LYNDHURST AVE, BALTIMORE, MD 21216-1733
(443) 915-4313
Mailing address
2902 LYNDHURST AVE, BALTIMORE, MD 21216-1733
(443) 915-4313
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
3AL3944
MD
3104A0625X
Assisted Living Facility (Mental Illness)
3AL3944
MD
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
3AL3944
MD
Other
Enumeration date
10/02/2023
Last updated
04/10/2024
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