Takeeta Gardner - Assisted Living Facility in Baltimore, Maryland | ProviderWire

Full Name

Takeeta Gardner

NPI Number

1104375435

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/28/2016

Specialties

(Taxonomies)

Name

Assisted Living Facility

Code

310400000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

W16302184

Contact
Information

Purpose

Mailing

Location

Address

1308 KENTON RD

1308 KENTON RD

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21234-6013

21234-6013

Country

US

US

Telephone Number

(410) 892-3335

(410) 892-3335

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/28/2016

Provider Address

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