Individual provider · Type 1 NPI

Stacey R. Gibbs

Assisted Living Facility · Baltimore, MD

NPI number 1417764580 Active

Practice location

3609 E Northern Pkwy
Baltimore, MD 21206-1645

Call (443) 415-1409 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X30AL3570-A (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.

Other assisted living facility providers in Baltimore

See all in Baltimore →

About NPI 1417764580

Stacey R. Gibbs's National Provider Identifier is 1417764580, issued on Dec 12, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Baltimore, MD. The record was last updated on Dec 12, 2024.