Organization
GLYNN TAFF, INC.
Active
Other names
Glynn Taff Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BURLEIGH (ADMINISTRATOR)
(443) 604-4166
Entity
Organization
Contact information
Practice address
5741 EDMONDSON AVE, CATONSVILLE, MD 21228-1956
(410) 744-4977
Mailing address
5741 EDMONDSON AVE, CATONSVILLE, MD 21228-1956
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
03AL0330-H
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5770106300
—
MD
Enumeration date
05/06/2014
Last updated
05/06/2014
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