Organization
VITALITY 360 OF PIKESVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIMERE BECOTE (OWNER)
(443) 606-6424
Entity
Organization
Contact information
Practice address
4001 SEVEN MILE LN, PIKESVILLE, MD 21208-6114
(443) 606-6424
(443) 606-6424
Mailing address
4001 SEVEN MILE LN, PIKESVILLE, MD 21208-6114
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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