NPI 1104416593

Wanda Alisa Shird

Practitioner Assisted Living Facility Baltimore, MD

Practice location

Address: 4406 Belle Ave, Baltimore, MD 21207-7645
Phone: (443) 523-7964

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 30AL3878 (MD)

Other Assisted Living Facility providers in Maryland →

Registry record

NPI: 1104416593
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2021
Record last updated: 20 Jan 2021

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.