Healthcare Provider Details

I. General information

NPI: 1003594599
Provider Name (Legal Business Name): ALL ABOUT ME ADULT DAY PROGRAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 07/06/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 JOSEPH BIGGS MEMORIAL HWY STE 7
NORTH EAST MD
21901-1840
US

IV. Provider business mailing address

3135 JOSEPH BIGGS MEMORIAL HWY STE 7
NORTH EAST MD
21901-1840
US

V. Phone/Fax

Practice location:
  • Phone: 410-642-4486
  • Fax:
Mailing address:
  • Phone: 410-642-4486
  • 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: JAIME WHITE
Title or Position: PRESIDENT
Credential:
Phone: 410-642-4486