| My Sisters Keeper House Of Kings, Inc | |
|
3921 Old York Rd Baltimore MD 21218-1910 | |
| (443) 674-6195 | |
| Not Available |
| Full Name | My Sisters Keeper House Of Kings, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3921 Old York Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Marie Antoinette Diggins (PRESIDENT) |
| Authorized Official Contact | 4105014759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Sisters Keeper House Of Kings, Inc 19 Nutmeg Knoll Ct Apt B Cockeysville MD 21030-4334 Ph: (410) 501-4789 | My Sisters Keeper House Of Kings, Inc 3921 Old York Rd Baltimore MD 21218-1910 Ph: (443) 674-6195 |
| NPI Number | 1811538150 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 12/03/2021 |
| Certification Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811538150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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