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NPI Code Detail

MEDICARE: 1 ADORING ADULT CARE

MEDICARE: 1 ADORING ADULT CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1124738083
Entity Type Code : Organization
Provider Name (Legal Business Name) : 1 ADORING ADULT CARE
Provider Business Mailing Address
First Line : 4303 LIBERTY HEIGHTS AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21207-7551
Country : US
Telephone Number : 410-940-1160
Fax Number :
Provider Business Practice Location Address
First Line : 4303 LIBERTY HEIGHTS AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21207-7551
Country : US
Telephone Number : 410-940-1160
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. TA'SHAY ARRINGTON
Credential : LPN
Telephone Number : 410-940-1160
Provider Enumeration Date : 12/01/2022
Last Update Date : 12/01/2022

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Directions to “1 ADORING ADULT CARE ” Practice Location

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