Healthcare Provider Details

I. General information

NPI: 1164061610
Provider Name (Legal Business Name): ACTS COMMUNITIES OF MARYLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 DUTCHMANS LANE
EASTON MD
21601
US

IV. Provider business mailing address

420 DELAWARE DR
FORT WASHINGTON PA
19034-2711
US

V. Phone/Fax

Practice location:
  • Phone: 410-822-8888
  • Fax:
Mailing address:
  • Phone: 267-787-4097
  • Fax: 215-699-2065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN AHERN
Title or Position: SVP, CFO
Credential:
Phone: 267-787-4106