Organization · Type 2 NPI

Peace & Glory Manor, Inc

Secured Medical Transport (VAN) · Randallstown, MD

NPI number 1003149733 Active

Practice location

3829 Kilburn Rd
Randallstown, MD 21133-4655

Fax (410) 922-4620

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory 291U00000XNone listed
Preferred Provider Organization 305R00000XNone listed
Physical Disabilities Residential Treatment Facility 320700000XNone listed
Customized Equipment (DME) 332BC3200XNone listed
Nursing Facility Supplies (DME) 332BN1400XNone listed
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500XNone listed
Hearing Aid Equipment 332S00000XNone listed
Secured Medical Transport (VAN) Primary 343800000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed

Secured Medical Transport (VAN): A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.

10 other providers at this address

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About NPI 1003149733

Peace & Glory Manor, Inc's National Provider Identifier is 1003149733, issued on Sep 14, 2009. The primary taxonomy on file is Secured Medical Transport (VAN) (343800000X), and the practice location is in Randallstown, MD. The record was last updated on Sep 14, 2009.