Organization · NPI-2
Marian'S Manor Alternative Living And Community Resources, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Glen Burnie, MD
NPI number1659811867
StatusActive
Last updated in NPPESMar 7, 2017
Details
- NPI
- 1659811867
- Entity type
- Organization (NPI-2)
- Legal business name
- Marian'S Manor Alternative Living And Community Resources, INC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2017
- Last updated
- Mar 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | DD0386 | MD | Yes |
Other names
- Marian'S Manor Alu (Doing Business As)
Practice location
7452 Baltimore Annapolis BlvdSte 201b
Glen Burnie, MD 21061-3547
Phone 443-324-3595
Mailing address
27 Old South River RdEdgewater, MD 21037-1203
Phone 443-324-3595
Authorized official
Jacqueline Mason
Owner/ Ceo
4433243595
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