Maryland Success Academy LLC DBA Maryland Success Lab LLC
NPI #1205537016 in Randallstown, Maryland
Provider Information
- NPI Number
- 1205537016
- Entity Type
- Organization
- Organization Name
- Maryland Success Academy LLC DBA Maryland Success Lab LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 17, 2023
- Last Updated
- Mar 17, 2023
Practice Location
- Address
- 9854 LIBERTY RD STE E
- City
- Randallstown
- State
- Maryland
- ZIP Code
- 21133-2058
- Phone
- (443) 353-9729
Authorized Official
- Name
- JENNIFER HUBBARD, MED, NURSE EDUCATOR
- Title
- PRESIDENT
- Phone
- (443) 353-9729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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