Organization
PEACE & GLORY MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA LYNN BROWN - BRISTOL (FOUNDER CEO/ EXCUTIVE OFFICER)
(410) 922-2617
Entity
Organization
Contact information
Practice address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
(410) 922-4620
Mailing address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
(410) 922-2462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
03AL1070-A
MD
133N00000X
Nutritionist
03AL1070-A
MD
133NN1002X
Nutrition Education Nutritionist
03AL1070-A
MD
133VN1005X
Renal Nutrition Registered Dietitian
03AL1070-A
MD
136A00000X
Registered Dietetic Technician
03AL1070-A
MD
163W00000X
Registered Nurse
03AL1070-A
MD
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
03AL1070-A
MD
163WA2000X
Administrator Registered Nurse
03AL1070-A
MD
163WC0400X
Case Management Registered Nurse
03AL1070-A
MD
163WC1600X
Continuing Education/Staff Development Registered Nurse
03AL1070-A
MD
163WD0400X
Diabetes Educator Registered Nurse
03AL1070-A
MD
310400000X
Assisted Living Facility
Primary
03AL1070-A
MD
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
03AL1070-A
MD
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up