Organization
VITALITY 360 OF BALTIMORE AT PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIMERE BECOTE (FOUNDER)
(443) 606-6424
Entity
Organization
Contact information
Practice address
1427 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3135
(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
06/12/2023
Last updated
06/12/2023
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