Individual provider · Type 1 NPI

Bendu Jackson

Assisted Living Facility · Baltimore, MD

NPI number 1376497040 Active

Practice location

5696 Utrecht Rd
Baltimore, MD 21206-2905

Call (443) 825-9875 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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.

2 other providers at this address

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About NPI 1376497040

Bendu Jackson's National Provider Identifier is 1376497040, issued on Feb 20, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Baltimore, MD. The record was last updated on Feb 20, 2026.