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Organization

FB PEYTON ROCK OF AGING,LLC

Active
Other names
BrightStar Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
FBRADLEY PEYTON J.D., M.DIV. (PRESIDENT/OWNER)
(410) 583-1944
Entity
Organization

Contact information

Practice address
1421 CLARKVIEW RD, SUITE 100B, BALTIMORE, MD 21209-2133
(410) 583-1944
(410) 583-1966
Mailing address
1421 CLARKVIEW RD, SUITE 100B, BALTIMORE, MD 21209-2133
(410) 583-1944
(410) 583-1966

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0810001
MD
251J00000X
Nursing Care Agency
081001
MD

Other

Enumeration date
01/02/2009
Last updated
01/02/2009
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