GOLDEN POND ADULT DAY PROGRAM INC. NPI 1790908226

NPI Information

GOLDEN POND ADULT DAY PROGRAM, INC. is an adult day care clinic center in Baltimore, MD. GOLDEN POND ADULT DAY PROGRAM, INC. NPI is 1790908226. The provider is registered as an organization entity type.

The provider's business location address is:

4825 FRANKFORD AVE
BALTIMORE, MD
ZIP 21206-226
Phone: (410) 325-2686
Fax: (410) 325-2687

The provider's authorized official is Gwendolyn Jacobs .
The authorized official title is Executive Director and has the following contact phone number (410) 325-2686.

The CLIA number assigned to this NPI record is 21D2002147 - other - medical adult daycare with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2007 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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