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Ms. Marlette Blue
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Baltimore, Maryland
NPI 1376321356

Marlette Blue is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Baltimore, MD. Marlette Blue practices in Baltimore, MD. The NPI Number for Marlette Blue is 1376321356 and holds a License No. 30AL3928 (Maryland).

The current practice location address for Marlette Blue is 2805 Lake Ave, Baltimore, MD and can be reached out via phone at 443-364-1908.

Location: 2805 Lake Ave, Baltimore, MD, 21213-1217
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Provider Profile Details
NPI Number
1376321356
Provider Name
Marlette Blue
Credential
Provider Entity Type
Individual
Gender
Female
Address
2805 Lake Ave, Baltimore, MD, 21213-1217
Phone Number
443-364-1908
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2805 Lake Ave
City
State
Zip
21213-1217
Phone Number
443-364-1908
Fax Number
person
Provider Business Mailing Address Details
Address
2805 Lake Ave
City
State
Zip
21213-1217
Phone Number
443-364-1908
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
30AL3928 (Maryland)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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