Healthcare Provider Details

I. General information

NPI: 1356423156
Provider Name (Legal Business Name): BAYWOODS COOPERATIVE HOUSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 BAY FRONT DR
ANNAPOLIS MD
21403-3622
US

IV. Provider business mailing address

7101 BAY FRONT DR
ANNAPOLIS MD
21403-3622
US

V. Phone/Fax

Practice location:
  • Phone: 410-268-9222
  • Fax: 410-268-4165
Mailing address:
  • Phone: 410-268-9222
  • Fax: 410-268-4165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: FRANK MCGOVERN
Title or Position: PRESIDENT/COO
Credential:
Phone: 410-268-9222