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NPI Code Detail

MEDICARE: GROWTH HORIZONS, INC.

MEDICARE: GROWTH HORIZONS, 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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1306804224
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROWTH HORIZONS, INC.
Provider Business Mailing Address
First Line : 25 HOOKS LN
Second Line : SUITE 202
City : BALTIMORE
State : MD
Zip : 21208-1617
Country : US
Telephone Number : 410-653-0944
Fax Number : 410-415-5188
Provider Business Practice Location Address
First Line : 614 N EASTON RD
Second Line :
City : GLENSIDE
State : PA
Zip : 19038-4301
Country : US
Telephone Number : 215-886-1505
Fax Number : 215-576-5491
Authorized Official
Title or Position : CEO
Name : PAUL VOLOSOC
Credential : PHD
Telephone Number : 410-653-0944
Provider Enumeration Date : 05/02/2006
Last Update Date : 08/22/2020

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Directions to “GROWTH HORIZONS, INC. ” Practice Location

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