Organization · Type 2 NPI
Old Home Place Inc
Adult Care Home Facility · Fruitland, MD
NPI number
1366165789
Active
Practice location
406 Ogle Avenue
Fruitland, MD 21826
Fax (443) 859-8953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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 1366165789
Old Home Place Inc's National Provider Identifier is 1366165789, issued on Sep 21, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fruitland, MD. The record was last updated on Sep 21, 2022.