Individual provider · Type 1 NPI

Wanda Alisa Shird

Assisted Living Facility · Baltimore, MD

NPI number 1104416593 Active

Practice location

4406 Belle Ave
Baltimore, MD 21207-7645

Call (443) 523-7964 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X30AL3878 (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 1104416593

Wanda Alisa Shird's National Provider Identifier is 1104416593, issued on Jan 20, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Baltimore, MD. The record was last updated on Jan 20, 2021.