Nichols Shelter Home for Elderly

NPI #1871793877 in Edgewood, Maryland

Provider Information

NPI Number
1871793877
Entity Type
Organization
Organization Name
Nichols Shelter Home for Elderly
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jul 19, 2007
Last Updated
Jul 19, 2007

Practice Location

Address
1111 HANSON RD.
ZIP Code
21040
Phone
(410) 676-3374

Authorized Official

Name
MRS. EVA SUE NICHOLS, CAREGIVERF
Title
OWNER
Phone
(410) 676-3374

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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