Organization
EVERCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY DUFFEY CRNP (DIRECTIOR OF CLINICAL SERVICES)
(443) 506-4361
Entity
Organization
Contact information
Practice address
6085 MARSHALEE DR, SUITE 110, ELKRIDGE, MD 21075-6023
(443) 691-2440
Mailing address
34 CODY AVE, BALTIMORE, MD 21234-1376
(410) 529-2960
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
R127624
MD
Other
Enumeration date
01/03/2007
Last updated
06/18/2008
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