ADVANCE ADULT DAY CARE L.L.C. NPI 1538503404

NPI Information

ADVANCE ADULT DAY CARE L.L.C. is an adult day care clinic center in Baltimore, MD. ADVANCE ADULT DAY CARE L.L.C. NPI is 1538503404. The provider is registered as an organization entity type.
The provider Is Doing Business As Friendship Adult Medical Day Center.

The provider's business location address is:

6255 KENWOOD AVE
SUITE C
BALTIMORE, MD
ZIP 21237-036
Phone: (410) 866-3700
Fax: (410) 866-5776

The provider's authorized official is Yeduard Pastushenko .
The authorized official title is President/facility Director and has the following contact phone number (410) 580-2040.

The CLIA number assigned to this NPI record is 21D1004565 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 1/19/2017.

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:

Other Identifiers

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

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