Individual provider · Type 1 NPI

Takeeta Gardner

Assisted Living Facility · Baltimore, MD

NPI number 1104375435 Active

Practice location

1308 Kenton Rd
Baltimore, MD 21234-6013

Call (410) 892-3335 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XW16302184 (MD)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1104375435

Takeeta Gardner's National Provider Identifier is 1104375435, issued on Sep 28, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 28, 2016.