Maryland Baptist Aged Home Of The United Baptist Missionary Conven
Skilled Nursing Facility in Baltimore, MD. Organization (NPI-2).
NPI number1841237997
StatusActive
Last updated in NPPESMay 14, 2012
Details
- NPI
- 1841237997
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Baptist Aged Home Of The United Baptist Missionary Conven
- Organization subpart
- No
- Enumeration date
- May 31, 2006
- Last updated
- May 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 30-081 | MD | Yes |
Practice location
2801 Rayner AveBaltimore, MD 21216-4628
Phone 410-624-3964
Mailing address
2801 Rayner AveBaltimore, MD 21216-4628
Phone 410-624-3964
Authorized official
Lavern Jones
Administrator
4109457650
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