Organization
IMELDA'S ELDERLY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A CLARKE (OWNER)
(301) 773-6384
Entity
Organization
Contact information
Practice address
7805 GLENARDEN PKWY, GLENARDEN, MD 20706-1711
(240) 432-2674
(301) 772-0324
Mailing address
7805 GLENARDEN PKWY, GLENARDEN, MD 20706-1711
(240) 432-2674
(301) 772-0324
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
16AL0731-C
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830005700
—
MD
Enumeration date
06/27/2008
Last updated
06/27/2008
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