Organization
WORTHINGTON ASSISTED LIVING
Active
Other names
64 Riesterstown Road LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH EDWARD DEVADOSS (OWNER)
(410) 298-9800
Entity
Organization
Contact information
Practice address
64 MAIN ST, REISTERSTOWN, MD 21136-1210
(410) 526-2146
(410) 526-7646
Mailing address
6401 DOGWOOD RD STE 108, BALTIMORE, MD 21207-5248
(410) 298-9800
(410) 298-5206
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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