| NPI | 1003149733 |
|---|---|
| Doing Business As | PEACE & GLORY MANOR MEDICAL ADULT & SENIOR PLUS DAYCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | GLORIA LYNN BROWN - BRISTOL Owner 443-386-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 305R00000X Preferred Provider Organization | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332S00000X Hearing Aid Equipment | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |