MAN ALIVE INC. NPI 1255312203

NPI Information

NPI: 1255312203
Provider Name: MAN ALIVE, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
2117 MARYLAND AVE
BALTIMORE, MD
ZIP 21218
Phone: (410) 837-4292
Get Directions

MAN ALIVE, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Baltimore, MD. MAN ALIVE, INC. NPI is 1255312203. The provider is registered as an organization entity type.

The provider's business location address is:

2117 MARYLAND AVE
BALTIMORE, MD
ZIP 21218-614
Phone: (410) 837-4292
Fax: (410) 837-0639

The provider's authorized official is Karen Reese .
The authorized official title is Executive Director and has the following contact phone number (410) 837-4292.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	900128	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	57387001	OTHER	MARYLAND	CAREFIRST BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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