NPI 1104159839
Peace & Glory Manor, INC
Practice location
- Address
- 3829 Kilburn Rd, Randallstown, MD 21133-4655
- Phone
- (443) 389-9959
- Fax
- (410) 922-4620
Authorised official
- Name
- Gloria Lynn Brown - Bristol
- Title
- Owner
- Phone
- (443) 386-9959
Registered specialties (15)
Adult Day Care Clinic/Center
Primary
Cardiovascular Disease Physician
Endocrinology, Diabetes & Metabolism Physician
Medical Oncology Physician
Blood Banking & Transfusion Medicine Physician
Clinical Pharmacology Physician
Local Education Agency (LEA)
Developmentally Disabled Services Day Training Agency
Nursing Care Agency
Voluntary or Charitable Agency
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Mental Health Clinic/Center (Including Community Mental Health Center)
Physical Therapy Clinic/Center
Rehabilitation Clinic/Center
Comprehensive Outpatient Rehabilitation Facility (CORF)
Registry record
- NPI
- 1104159839
- 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.