DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PEACE & GLORY MANOR, INC

MEDICARE: PEACE & GLORY MANOR, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician
2207RE0101XEndocrinology, Diabetes & Metabolism Physician
3207RX0202XMedical Oncology Physician
4207ZB0001XBlood Banking & Transfusion Medicine Physician
5208U00000XClinical Pharmacology Physician
6251300000XLocal Education Agency (LEA)
7251C00000XDevelopmentally Disabled Services Day Training Agency
8251J00000XNursing Care Agency
9251V00000XVoluntary or Charitable Agency
10261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
11261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
12261QP2000XPhysical Therapy Clinic/Center
13261QR0400XRehabilitation Clinic/Center
14261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
15261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1104159839
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACE & GLORY MANOR, INC
Provider Business Mailing Address
First Line : 3829 KILBURN RD
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-4655
Country : US
Telephone Number : 443-386-9959
Fax Number : 410-922-4620
Provider Business Practice Location Address
First Line : 3829 KILBURN RD
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-4655
Country : US
Telephone Number : 443-389-9959
Fax Number : 410-922-4620
Authorized Official
Title or Position : OWNER
Name : MS. GLORIA LYNN BROWN - BRISTOL
Credential :
Telephone Number : 443-386-9959
Provider Enumeration Date : 09/14/2009
Last Update Date : 09/14/2009

Similar Medicare Providers

1851525471 — PEACE AND GLORY, INC
Practice Location Address:
3829 KILBURN RD
RANDALLSTOWN, MD
21133-4655
Practice Phone: 410-922-2617
Practice Fax:
1699900449 — REBEKAH HOME HEALTHCARE, LLC
Practice Location Address:
3829 KILBURN RD
RANDALLSTOWN, MD
21133-4655
Practice Phone: 410-922-2617
Practice Fax: 410-922-4620
1386977015 — PEACE & GLORY MANOR, INC
Practice Location Address:
3829 KILBURN RD
RANDALLSTOWN, MD
21133-4655
Practice Phone: 443-386-9959
Practice Fax: 410-922-4620
1003149733 — PEACE & GLORY MANOR, INC
Practice Location Address:
3829 KILBURN RD
RANDALLSTOWN, MD
21133-4655
Practice Phone: 443-386-9959
Practice Fax: 410-922-4620
1952636649 — PEACE & GLORY MANOR,INC
Practice Location Address:
3829 KILBURN RD
RANDALLSTOWN, MD
21133-4655
Practice Phone: 410-922-2617
Practice Fax: 410-922-4620
1083949655 — REBEKAH HOME HEALTHCARE,LLC
Practice Location Address:
3829 KILBURN RD
RANDALLSTOWN, MD
21133-4655
Practice Phone: 410-922-2617
Practice Fax: 410-922-4620

Directions to “PEACE & GLORY MANOR, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.