Mrtllc in Severna Park - Assisted Living, Behavioral Disturbances

Mrtllc - NPI 1285896209

Mrtllc is a Assisted Living, Behavioral Disturbances in Severna Park, Maryland. Mrtllc practices all healthcare services and medical treatments related to Assisted Living, Behavioral Disturbances. The NPI Number for Mrtllc is 1285896209. The last update date is 2008-07-01.

Mrtllc's current location address is Po Box 1408, Severna Park, Maryland. You can contact this provider via phone number 4103849540 and fax number 4103849541. The mailing address for Mrtllc is Po Box 1408, Severna Park, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mrtllc
Address Po Box 1408, Severna Park, Maryland
Phone Number 4103849540
Fax Number 4103849541
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Taneus Margaret
Credentials RN
Telephone Number 4103849540

NPI Number Detail

NPI Number 1285896209
Provider Enumeration Date 2008-07-01
Last Updated Date 2008-07-01

Provider Mailing Address Detail

Address Po Box 1408
City Severna Park
State Maryland (MD)
Post Code 211468408
Phone Number 4103849540
Fax Number 4103849541

Provider's Primary Taxonomy Detail

Speciality Assisted Living, Behavioral Disturbances
Taxonomy 3104A0630X
Licence No 02AL0233
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3106039000 MD --

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FAQs about Mrtllc

What is the unique 10-digit identification code assigned to Mrtllc by the Centers for Medicare & Medicaid Services?

The Mrtllc has been issued the NPI (National Provider Identifier) 1285896209, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mrtllc is located?

The Mrtllc is situated at the following address: Po Box 1408, Severna Park, MD, 211468408.

What is Mrtllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mrtllc is Assisted Living, Behavioral Disturbances, and the taxonomy code that classifies this field of practice is 3104A0630X.

On what date did the Mrtllc receive its 1285896209 assignment from the Centers for Medicare & Medicaid Services?

The Mrtllc was assigned its 1285896209 by the Centers for Medicare & Medicaid Services on 2008-07-01.

As of what date were the Mrtllc's details last updated?

The information pertaining to the Mrtllc, including its address, specialty, and other details, was most recently updated on 2008-07-01.

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