| Marian House, Inc. | |
|
949 Gorsuch Ave Baltimore MD 21218-3602 | |
| (410) 467-4121 | |
| (410) 467-6709 |
| Full Name | Marian House, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 949 Gorsuch Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Katie Allston (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4104674121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian House, Inc. 949 Gorsuch Ave Baltimore MD 21218-3602 Ph: (410) 467-4121 | Marian House, Inc. 949 Gorsuch Ave Baltimore MD 21218-3602 Ph: (410) 467-4121 |
| NPI Number | 1124304266 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 11/02/2011 |
| Medicare PECOS PAC ID | 6901297308 |
|---|---|
| Medicare Enrollment ID | O20211220000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124304266 | NPI | - | NPPES |
| Provider Name | Annemarie Vallonga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922445949 PECOS PAC ID: 7012158850 Enrollment ID: I20130722000017 |
| Provider Name | Elizabeth L Brolund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295197176 PECOS PAC ID: 6709185721 Enrollment ID: I20160426001275 |
| Provider Name | Halcyon Felicia Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548528524 PECOS PAC ID: 9638500945 Enrollment ID: I20200520000897 |
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