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NPI Code Detail

MEDICARE: ARUNDEL LODGE, INC.

MEDICARE: ARUNDEL LODGE, 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1225213507
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARUNDEL LODGE, INC.
Provider Business Mailing Address
First Line : 2600 SOLOMONS ISLAND RD
Second Line :
City : EDGEWATER
State : MD
Zip : 21037-1102
Country : US
Telephone Number : 443-433-5900
Fax Number : 410-841-6045
Provider Business Practice Location Address
First Line : 2600 SOLOMONS ISLAND RD
Second Line :
City : EDGEWATER
State : MD
Zip : 21037-1102
Country : US
Telephone Number : 443-433-5900
Fax Number : 410-841-6045
Authorized Official
Title or Position : BILLING SUPERVISOR
Name : KERRY LOWRY
Credential :
Telephone Number : 443-433-5929
Provider Enumeration Date : 01/04/2008
Last Update Date : 10/13/2025

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1255516506 — ARUNDEL LODGE, INC
Practice Location Address:
2600 SOLOMONS ISLAND RD
EDGEWATER, MD
21037-1102
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Practice Fax: 410-841-6045

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