Healthcare Provider Details

I. General information

NPI: 1821904921
Provider Name (Legal Business Name): MORNING GLORY ALF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 BROOKWOOD RD
ELLICOTT CITY MD
21042-2504
US

IV. Provider business mailing address

3030 BROOKWOOD RD
ELLICOTT CITY MD
21042-2504
US

V. Phone/Fax

Practice location:
  • Phone: 443-280-3349
  • Fax: 410-696-7528
Mailing address:
  • Phone: 443-280-3349
  • Fax: 410-696-7528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. YOUNGSIK KIM
Title or Position: OWNER/MANAGER
Credential:
Phone: 443-280-3349