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Organization

GOLDEN POND ADULT DAY PROGRAM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GWENDOLYN JACOBS R.N. (EXECUTIVE DIRECTOR)
(410) 325-2686
Entity
Organization

Contact information

Practice address
4825 FRANKFORD AVE, BALTIMORE, MD 21206-5226
(410) 325-2686
(410) 325-2687
Mailing address
PO BOX 20355, TOWSON, MD 21284-0355
(410) 325-2686
(410) 325-2687

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
14035
MD

Other

Enumeration date
04/11/2007
Last updated
08/22/2020
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