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Organization

HOLBROCK ESTATES AT 809 N ROSE STREET LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERNON HOLMES (CEO)
(667) 400-0602
Entity
Organization

Contact information

Practice address
809 N ROSE ST, BALTIMORE, MD 21205-1615
(443) 539-8508
(443) 539-8508
Mailing address
301 S CONKLING ST STE 1, BALTIMORE, MD 21224-2460
(443) 539-8508
(443) 539-8508

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/21/2024
Last updated
10/21/2024
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