St. Agnes Healthcare, Inc.

NPI #1780225326 in Baltimore, Maryland

Provider Information

NPI Number: 1780225326
Entity Type: Organization
Organization Name: St. Agnes Healthcare, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: ST. AGNES HEALTHCARE, INC.
Primary Specialty: Dietitian, Registered - Nutrition, Obesity and Weight Management
Enumeration Date: Oct 4, 2019
Last Updated: Jun 23, 2021

Practice Location

Address: 900 CATON AVE
City: Baltimore
State: Maryland
ZIP Code: 21229-5201
Phone: (667) 234-3244

Authorized Official

Name: EDWARD R LOVERN
Title: PRESIDENT/CEO
Phone: (667) 234-2105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Dietitian, Registered	133V00000X
Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management	133VN1201X	Primary

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