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General NPI Number Information
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NPI Number | 1821904921
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Entity Type | Organization
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Legal Business Name | MORNING GLORY ALF
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 3030 BROOKWOOD RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2504
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Country | US
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Telephone | 443-280-3349
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Fax | 410-696-7528
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Provider Business Mailing Address
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Address Line | 3030 BROOKWOOD RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2504
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Country | US
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Telephone | 443-280-3349
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Fax | 410-696-7528
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. YOUNGSIK KIM
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Credential |
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Telephone | 443-280-3349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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