All Walks Of Life, Llc | |
107 E 25th St Baltimore MD 21218-5213 | |
(410) 558-0019 | |
(410) 366-2108 |
Full Name | All Walks Of Life, Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 107 E 25th St, Baltimore, Maryland |
Authorized Official Name and Position | Floyd Essner Taliaferro (CEO) |
Authorized Official Contact | 4109849978 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
All Walks Of Life, Llc 6133 Marlora Rd Baltimore MD 21239-1929 Ph: (410) 984-9978 | All Walks Of Life, Llc 107 E 25th St Baltimore MD 21218-5213 Ph: (410) 558-0019 |
NPI Number | 1134387210 |
---|---|
Provider Enumeration Date | 05/27/2008 |
Last Update Date | 05/12/2016 |
Medicare PECOS PAC ID | 7214070010 |
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Medicare Enrollment ID | O20100202000485 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134387210 | NPI | - | NPPES |
411133800 | Medicaid | MD | |
411132000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Chelsea D Fabrizio |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114550977 PECOS PAC ID: 4082044201 Enrollment ID: I20220823003019 |
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