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1386020048
BETTIEJOE DAVIS
BRANDYWINE, MD
NPI
1386020048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171400000X
Additional Taxonomies
310400000X Assisted Living Facility
(Licence: MD 16AL1132-A)
Enumeration Date
2015-08-05
Last Update Date
2022-08-10
Business Address
BETTIEJOE DAVIS
5011 FLORAL PARK RD
BRANDYWINE, MD 20613-9153
Phone number: 240-396-7662
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Mailing Address
BETTIEJOE DAVIS
5011 FLORAL PARK RD
BRANDYWINE, MD 20613-9153
Phone number: 240-396-7662
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