MEDICARE: PARENTS' PLACE OF MARYLAND, 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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1619830254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARENTS' PLACE OF MARYLAND, INC.

Provider Business Mailing Address
First Line	:	802 CROMWELL PARK DR STE H
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2563
Country	:	US
Telephone Number	:	410-768-9100
Fax Number	:	410-768-0830

Provider Business Practice Location Address
First Line	:	802 CROMWELL PARK DR STE H
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2563
Country	:	US
Telephone Number	:	410-768-9100
Fax Number	:	410-768-0830

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	RENE AVERITT-SANZONE
Credential	:
Telephone Number	:	410-768-9100

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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