Organization · NPI-2

Arundel Lodge, INC

Community/Behavioral Health · Annapolis, MD

NPI number1689063059
StatusActive
Last updated in NPPESApr 16, 2025

Details

NPI
1689063059
Entity type
Organization (NPI-2)
Legal business name
Arundel Lodge, INC
Organization subpart
Yes
Enumeration date
Jan 22, 2015
Certification date
Apr 16, 2025
Last updated
Apr 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1819 Bay Ridge Ave Ste 220
Annapolis, MD 21403-2835

Phone 443-433-5900

Mailing address

1819 Bay Ridge Ave Ste 220
Annapolis, MD 21403-2835

Phone 443-433-5929

Authorized official

Kerry L Lowry
Billing Supervisor
4434335929

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