Healthcare Provider Details

I. General information

NPI: 1164562971
Provider Name (Legal Business Name): ALL TOGETHER NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11006 REISTERSTOWN RD
OWINGS MILLS MD
21117-2433
US

IV. Provider business mailing address

11006 REISTERSTOWN RD
OWINGS MILLS MD
21117-2433
US

V. Phone/Fax

Practice location:
  • Phone: 410-486-8650
  • Fax: 410-486-6935
Mailing address:
  • Phone: 410-486-8650
  • Fax: 410-486-6935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number30AL2588
License Number StateMD

VIII. Authorized Official

Name: MS. MICHELLE CHRISTINA WIKE
Title or Position: CEO
Credential: BSN,RN,DON,CM/DN
Phone: 410-486-8650