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Wenonah Gwynn
Assisted Living Facility in Forestville, Maryland
NPI 1073157293

Wenonah Gwynn is an Assisted Living Facility based in Forestville, MD. Wenonah Gwynn practices in Forestville, MD. The NPI Number for Wenonah Gwynn is 1073157293 and holds a License No. 16AL1226-A (Maryland).

The current practice location address for Wenonah Gwynn is 3333 Pumphrey Dr, Forestville, MD and can be reached out via phone at 301-735-5741.

Location: 3333 Pumphrey Dr, Forestville, MD, 20747-4308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073157293
Provider Name
Wenonah Gwynn
Credential
Provider Entity Type
Individual
Gender
Female
Address
3333 Pumphrey Dr, Forestville, MD, 20747-4308
Phone Number
301-735-5741
Fax Number
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16AL1226-A 01 OHCQ
16AL1226-A 01 MD OHCQ
institution
Provider Business Practice Location Address Details
Address
3333 Pumphrey Dr
City
Forestville
State
Maryland
Zip
20747-4308
Phone Number
301-735-5741
Fax Number
person
Provider Business Mailing Address Details
Address
3333 Pumphrey Dr
City
Forestville
State
Maryland
Zip
20747-4308
Phone Number
301-735-5741
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
16AL1226-A (Maryland)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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