Organization
ST. MARY'S ADULT MEDICAL DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH E. DEVADOSS (PRESIDENT)
(410) 298-9800
Entity
Organization
Contact information
Practice address
24400 MERVELL DEAN RD, HOLLYWOOD, MD 20636-2709
(301) 373-6515
(301) 373-6517
Mailing address
24400 MERVELL DEAN RD, HOLLYWOOD, MD 20636-2709
(301) 373-6515
(301) 373-6517
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
18-001-A
MD
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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