Healthcare Provider Details

I. General information

NPI: 1427766161
Provider Name (Legal Business Name): LILLIAN JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2022
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WISE AVE
BALTIMORE MD
21222-4910
US

IV. Provider business mailing address

7603 TOWN VIEW DR
BALTIMORE MD
21222-2886
US

V. Phone/Fax

Practice location:
  • Phone: 410-900-0899
  • Fax:
Mailing address:
  • Phone: 410-900-0899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: