Organization
LILLY'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA JAMES (DIRECTOR)
(410) 903-7932
Entity
Organization
Contact information
Practice address
228 FERNDALE RD, GLEN BURNIE, MD 21061-3799
(410) 903-7932
(410) 510-1374
Mailing address
228 FERNDALE RD, GLEN BURNIE, MD 21061-3799
(410) 903-7932
(410) 510-1374
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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