Individual provider · Type 1 NPI
Tracie Shirrelle Gambrill
Assisted Living Facility · Baltimore, MD
NPI number
1922612563
Active
Practice location
3029 Windsor Ave
Baltimore, MD 21216-2751
Fax (410) 225-3230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 30AL3873 (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 1922612563
Tracie Shirrelle Gambrill's National Provider Identifier is 1922612563, issued on Sep 1, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 1, 2020.