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1912681883
VITALITY 360 OF BALTIMORE AT PROVIDENCE
BALTIMORE, MD
NPI
1912681883
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Entity Type
Organization
Authorized Contact
CHIMERE BECOTE
Founder
443-606-6424
Organization Subpart ?
No
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
VITALITY 360 OF BALTIMORE AT PROVIDENCE
1427 PENNSYLVANIA AVE
BALTIMORE, MD 21217-3135
Phone number: 443-606-6424
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Mailing Address
VITALITY 360 OF BALTIMORE AT PROVIDENCE
4001 SEVEN MILE LN
PIKESVILLE, MD 21208-6114
Phone number:
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