Healthcare Provider Details

I. General information

NPI: 1184237943
Provider Name (Legal Business Name): SAVING ALL LIVES MATTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 04/03/2021
Certification Date: 04/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4630 BELAIR RD STE A
BALTIMORE MD
21206-6354
US

IV. Provider business mailing address

3810 MORAVIA RD
BALTIMORE MD
21206-5519
US

V. Phone/Fax

Practice location:
  • Phone: 443-253-0547
  • Fax:
Mailing address:
  • Phone: 443-990-1710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JENENE MCDOWELL
Title or Position: MEMBER
Credential: CRNP
Phone: 443-990-1710