National Provider Identifier Database

MARIANS MANOR ALTERNATIVE LIVING AND COMMUNITY RESOURCES INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

MARIAN'S MANOR ALTERNATIVE LIVING AND COMMUNITY RESOURCES, INC
7452 BALTIMORE ANNAPOLIS BLVD
STE 201B
GLEN BURNIE, MD21061-3547
Phone: 443-324-3595
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for MARIAN'S MANOR ALTERNATIVE LIVING AND COMMUNITY RESOURCES, INC

NPI Number 1659811867
Legal business name
LBN
MARIAN'S MANOR ALTERNATIVE LIVING AND COMMUNITY RESOURCES, INC
Authorized official JACQUELINE MASON - (OWNER/ CEO)
Entity Organization
Organization subpart No
Enumeration date 03/07/2017
Last updated 03/07/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: DD0386

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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