MEDICARE: ALL TOGETHER ASSISTED LIVING

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
1	251J00000X	Nursing Care Agency	0001001	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356455471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL TOGETHER ASSISTED LIVING

Provider Business Mailing Address
First Line	:	10711 RED RUN BLVD STE 112
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-5138
Country	:	US
Telephone Number	:	410-486-8650
Fax Number	:	410-486-6935

Provider Business Practice Location Address
First Line	:	10711 RED RUN BLVD
Second Line	:	SUITE 112
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-5138
Country	:	US
Telephone Number	:	410-486-8650
Fax Number	:	410-486-6935

Authorized Official
Title or Position	:	CFO
Name	:	MR. JOHN E WIKE
Credential	:
Telephone Number	:	410-486-8650

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	10/23/2015

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Directions to “ALL TOGETHER ASSISTED LIVING ” Practice Location

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