NPI 1003149733

Peace & Glory Manor, INC

Organisation Secured Medical Transport (VAN) Randallstown, MD

Practice location

Address: 3829 Kilburn Rd, Randallstown, MD 21133-4655
Phone: (443) 386-9959
Fax: (410) 922-4620

Authorised official

Name: Gloria Lynn Brown - Bristol
Title: Owner
Phone: (443) 386-9959

Registered specialties (10)

Secured Medical Transport (VAN) Primary

Transportation Services Taxonomy 343800000X

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Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X

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Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X

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Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

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Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

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Nursing Facility Supplies (DME)

Suppliers Taxonomy 332BN1400X

Parenteral & Enteral Nutrition Supplies (DME)

Suppliers Taxonomy 332BP3500X

Hearing Aid Equipment

Suppliers Taxonomy 332S00000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1003149733
Entity type: Organization
NPI issued: 14 Sep 2009
Record last updated: 14 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.