ALICE MANOR ADULT DAYCARE NPI 1427199918

NPI Information

ALICE MANOR ADULT DAYCARE is an adult day care clinic center in Baltimore, MD. ALICE MANOR ADULT DAYCARE NPI is 1427199918. The provider is registered as an organization entity type.

The provider's business location address is:

6401 DOGWOOD RD STE 101
BALTIMORE, MD
ZIP 21207-248
Phone: (410) 298-7255
Fax: (410) 298-5850

The provider's authorized official is Joseph Edward Devadoss .
The authorized official title is President and has the following contact phone number (410) 298-9800.

The CLIA number assigned to this NPI record is 21D0920630 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 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:

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