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Contact Information

MAXINEPETRONA ULTIMATE CARE ASSISTED LIVING LLC
3817 W COLD SPRING LN
BALTIMORE, MD21215-5430
 Phone: 929-385-2731
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for MAXINEPETRONA ULTIMATE CARE ASSISTED LIVING LLC

NPI # 1861354771
LBN Legal business name MAXINEPETRONA ULTIMATE CARE ASSISTED LIVING LLC
Authorized official MAXINE WILSON - (ASSISTED LIVING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2025
Last updated 11/29/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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