Individual
MS. AMELIA CONSAUNDRA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
30AL3144-D
MD
3104A0625X
Assisted Living Facility (Mental Illness)
30AL3144-D
MD
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
30AL3144-D
MD
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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