Providence Adult Day Care Center, Inc.

NPI #1043496706 in Baltimore, Maryland

Provider Information

NPI Number
1043496706
Entity Type
Organization
Organization Name
Providence Adult Day Care Center, Inc.
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Jan 11, 2008
Last Updated
Jan 11, 2008

Practice Location

Address
1427 PENNSYLVANIA AVE
ZIP Code
21217-3135
Phone
(410) 523-1500

Authorized Official

Name
MS. STACY RODGERS ELEY, MPA
Title
BOARD PRESIDENT
Phone
(410) 523-1500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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