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Shalita Smith
Adult Day Care Clinic/Center in Essex, Maryland
NPI 1437811569

Shalita Smith is an Adult Day Care Clinic/Center based in Aberdeen, MD and is specialized in Adult Day Care. Shalita Smith practices in Essex, MD. The NPI Number for Shalita Smith is 1437811569 and holds a License No. 03-050 (Maryland).

The current practice location address for Shalita Smith is 100 S Taylor Ave., Essex, MD and can be reached out via phone at 443-739-2084.

Location: 100 S Taylor Ave., Essex, MD, 21001-3646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437811569
Provider Name
Shalita Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 S Taylor Ave., Essex, MD, 21001-3646
Phone Number
443-739-2084
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2188G72M 01 MD MEDICAL ASSISTANCE/MEDICARE/MEDICAID/PRIVATE
institution
Provider Business Practice Location Address Details
Address
100 S Taylor Ave.
City
Essex
State
Maryland
Zip
21221
Phone Number
443-739-2084
Fax Number
person
Provider Business Mailing Address Details
Address
100 S Taylor Ave.
City
Essex
State
Maryland
Zip
21221
Phone Number
443-739-2084
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
03-050 (Maryland)
Definition
Definition to come...
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