WANDA PULLIAM NPI 1609523885

NPI Information

  • NPI: 1609523885
  • Provider Name: WANDA PULLIAM
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 843 N AUGUSTA AVE
    BALTIMORE, MD
    ZIP 21229
  • Phone: (443) 829-4562

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NPI Details

Wanda Pulliam is a community based residential treatment facility, intellectual and/or developmental disabilities in Baltimore, MD. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Wanda Pulliam NPI is 1609523885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

843 N AUGUSTA AVE
BALTIMORE, MD
ZIP 21229-823
Phone: (443) 829-4562

The enumeration date for this NPI number is 3/7/2022 and was last updated on 3/7/2022.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 11/21/2025

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