Actively Aging To Perfection Llc | |
4709 Harford Road Suite A, 2nd Fl #11 Baltimore MD 21214-3261 | |
(410) 648-9707 | |
Not Available |
Full Name | Actively Aging To Perfection Llc |
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Speciality | Social Worker |
Location | 4709 Harford Road, Baltimore, Maryland |
Authorized Official Name and Position | Merissa Brown (MANAGER) |
Authorized Official Contact | 4434709998 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Actively Aging To Perfection Llc 4709 Harford Road Suite A, 2nd Fl #11 Baltimore MD 21214-3261 Ph: (410) 648-9707 | Actively Aging To Perfection Llc 4709 Harford Road Suite A, 2nd Fl #11 Baltimore MD 21214-3261 Ph: (410) 648-9707 |
NPI Number | 1285269993 |
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Provider Enumeration Date | 03/03/2020 |
Last Update Date | 12/06/2020 |
Certification Date | 12/06/2020 |
Medicare PECOS PAC ID | 5890117014 |
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Medicare Enrollment ID | O20200617000521 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285269993 | NPI | - | NPPES |
Provider Name | Merissa R Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790177640 PECOS PAC ID: 3870882525 Enrollment ID: I20160519000095 |
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