MEDICARE: CLATANYA M STOKES

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
1	310400000X	Assisted Living Facility		MD

General Provider Information

NPI Number	:	1669311122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLATANYA M STOKES

Provider Business Mailing Address
First Line	:	PO BOX 9517
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-0517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 9517
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-0517
Country	:	US
Telephone Number	:	410-918-7001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “ CLATANYA M STOKES ” Practice Location

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