Organization
MAXINEPETRONA ULTIMATE CARE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAXINE RICHARDO WILSON (ASSISTED LIVING MANAGER)
(929) 385-2731
Entity
Organization
Contact information
Practice address
3817 W COLD SPRING LN, BALTIMORE, MD 21215-5430
(929) 385-2731
Mailing address
3817 W COLD SPRING LN, BALTIMORE, MD 21215-5430
(929) 385-2731
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/29/2025
Last updated
11/29/2025
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