Individual provider · Type 1 NPI
Ellson Forti Pinanzu Sr., PSY.D
Adult Care Home Facility · Salisbury, MD
NPI number
1033980651
Active
Practice location
310 Hammond St Ste 104
Salisbury, MD 21804-4474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | RSA-01150 (MD) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1033980651
Ellson Forti Pinanzu Sr., PSY.D's National Provider Identifier is 1033980651, issued on Jan 11, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Salisbury, MD. The record was last updated on Jan 18, 2024.