Organization
NICHOLS SHELTER HOME FOR ELDERLY
Active
Other names
Nichols Shelter Home for Elderly
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA SUE NICHOLS CAREGIVERF (OWNER)
(410) 676-3374
Entity
Organization
Contact information
Practice address
1111 HANSON RD., EDGEWOOD, MD 21040
(410) 676-3374
(410) 676-4980
Mailing address
1111 HANSON RD, EDGEWOOD, MD 21040-2116
(410) 676-3374
(410) 676-4980
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
12AL045
MD
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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