Organization
VIBRANT ASSISTED LIVING
Active
Other names
Vibrant assisted living
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEGRA LEWIS (CEO)
(443) 813-3197
Entity
Organization
Contact information
Practice address
6217 FAIRDEL AVE, BALTIMORE, MD 21206-2444
(443) 813-3197
Mailing address
1529 MEDFORD RD, BALTIMORE, MD 21218-2210
(443) 969-4982
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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