NPI 1104375435

Takeeta Gardner

Practitioner Assisted Living Facility Baltimore, MD

Practice location

Address: 1308 Kenton Rd, Baltimore, MD 21234-6013
Phone: (410) 892-3335

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence W16302184 (MD)

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Registry record

NPI: 1104375435
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2016
Record last updated: 28 Sep 2016

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.