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1124705546
CHANGING LIVES AT HOME SUD,INC
BALTIMORE, MD
NPI
1124705546
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Entity Type
Organization
Authorized Contact
LATRILL BRYANT-BASS
CEO/Director
443-463-9523
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2023-06-28
Last Update Date
2023-06-30
Business Address
CHANGING LIVES AT HOME SUD,INC
4805 GARRISON BLVD 1ST FLOOR AND SUITE 200
BALTIMORE, MD 21215-5695
Phone number: 443-869-2600
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Mailing Address
CHANGING LIVES AT HOME SUD,INC
202 GLENN ELLEN CIR
PIKESVILLE, MD 21208-1028
Phone number: 443-463-9523
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