Individual provider · Type 1 NPI
Marlette Blue
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Baltimore, MD
Practice location
2805 Lake Ave
Baltimore, MD 21213-1217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 30AL3928 (MD) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1376321356
Marlette Blue's National Provider Identifier is 1376321356, issued on Sep 20, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 20, 2023.