Healthcare Provider Details

I. General information

NPI: 1891370698
Provider Name (Legal Business Name): GOLDEN DAYS EAST ADULT MEDICAL DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 03/12/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7707 GERMAN HILL RD
DUNDALK MD
21222-1525
US

IV. Provider business mailing address

7707 GERMAN HILL RD
DUNDALK MD
21222-1525
US

V. Phone/Fax

Practice location:
  • Phone: 443-530-6075
  • Fax: 443-376-5516
Mailing address:
  • Phone: 443-530-6075
  • Fax: 443-376-5516

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: STELLA GILKIS
Title or Position: OWNER
Credential:
Phone: 443-414-5754