Healthcare Provider Details

I. General information

NPI: 1144129156
Provider Name (Legal Business Name): ALIGN LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2026
Last Update Date: 11/04/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 BOARMAN AVE UNIT A
BALTIMORE MD
21215-4935
US

IV. Provider business mailing address

4313 KATHLAND AVE
BALTIMORE MD
21207-7435
US

V. Phone/Fax

Practice location:
  • Phone: 443-525-1229
  • Fax:
Mailing address:
  • Phone: 443-525-1229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: SHANITA MCCORKLE
Title or Position: FOUNDER
Credential:
Phone: 443-525-1229