Organization
CHANGE AGENT NETWORK AFRICA,INC.
Active
Parent organization
CHANGE AGENT NETWORK AFRICA, INC.
Other names
LuAnn Medical Adult DayCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANGE AGENT NETWORK AFRICA, INC.
Authorized official
EMILE D. ASHWOOD MED/EDUCATIONA (PROGRAM MANAGER)
(240) 524-0636
Entity
Organization
Contact information
Practice address
4801 SIPPLE AVE, BALTIMORE, MD 21206-5605
(240) 524-0636
Mailing address
4801 SIPPLE AVE, BALTIMORE, MD 21206-5605
(240) 524-0636
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A230229135394
ID
MD
Enumeration date
02/02/2020
Last updated
02/02/2020
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