Organization
EVISION MEDICAL ADULT DAY CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALITA SMITH (OWNER)
(443) 739-2084
Entity
Organization
Contact information
Practice address
100 S. TAYLOR AVE, ESSEX, MD 21221
(443) 739-2084
Mailing address
414 WATER ST APT 2509, APT 2509, BALTIMORE, MD 21202-3284
(443) 739-2084
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2188G72M
MEDICARE, MEDICAID, MEDICAL ASSISTANCE, PRIVATE PAYER
MD
Enumeration date
09/16/2021
Last updated
06/12/2026
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