Wanda A. Shird - Assisted Living Facility in Baltimore, Maryland | ProviderWire

Full Name

Wanda Alisa Shird

NPI Number

1104416593

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/20/2021

Specialties

(Taxonomies)

Name

Assisted Living Facility

Code

310400000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

30AL3878

Contact
Information

Purpose

Mailing

Location

Address

4406 BELLE AVE

4406 BELLE AVE

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21207-7645

21207-7645

Country

US

US

Telephone Number

(443) 523-7964

(443) 523-7964

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

Data last updated by provider on 01/20/2021

Provider Address

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