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Ellson Forti Pinanzu SR., PSYD
Adult Care Home Facility in Salisbury, Maryland
NPI 1033980651

Ellson Forti Pinanzu SR. is an Adult Care Home Facility based in Salisbury, MD and is specialized in Adult Care Home. Ellson Forti Pinanzu SR. practices in Salisbury, MD and has the professional credentials of PSYD. The NPI Number for Ellson Forti Pinanzu SR. is 1033980651 and holds a License No. RSA-01150 (Maryland).

The current practice location address for Ellson Forti Pinanzu SR. is 310 Hammond St Ste 104, Salisbury, MD and can be reached out via phone at 443-736-9169.

Location: 310 Hammond St Ste 104, Salisbury, MD, 21804-4474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033980651
Provider Name
Ellson Forti Pinanzu SR.
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
310 Hammond St Ste 104, Salisbury, MD, 21804-4474
Phone Number
443-736-9169
Fax Number
Provider Enumeration Date
01/11/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
310 Hammond St Ste 104
City
Salisbury
State
Maryland
Zip
21804-4474
Phone Number
443-736-9169
Fax Number
person
Provider Business Mailing Address Details
Address
310 Hammond St Ste 104
City
Salisbury
State
Maryland
Zip
21804-4474
Phone Number
443-736-9169
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
RSA-01150 (Maryland)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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