person
Wanda Pulliam
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baltimore, Maryland
NPI 1609523885

Wanda Pulliam is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Baltimore, MD. Wanda Pulliam practices in Baltimore, MD. The NPI Number for Wanda Pulliam is 1609523885 and holds a License No. (Maryland).

The current practice location address for Wanda Pulliam is 843 N Augusta Ave, Baltimore, MD and can be reached out via phone at 443-829-4562. You can also correspond with Wanda Pulliam through the mailing address at 843 N AUGUSTA AVE, BALTIMORE, MD - 21229-1823 (mailing address contact number: 443-829-4562).

Location: 843 N Augusta Ave, Baltimore, MD, 21229-1823
person
Provider Profile Details
NPI Number
1609523885
Provider Name
Wanda Pulliam
Credential
Provider Entity Type
Individual
Gender
Female
Address
843 N Augusta Ave, Baltimore, MD, 21229-1823
Phone Number
443-829-4562
Fax Number
Provider Enumeration Date
03/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
843 N Augusta Ave
City
State
Zip
21229-1823
Phone Number
443-829-4562
Fax Number
person
Provider Business Mailing Address Details
Address
843 N Augusta Ave
City
State
Zip
21229-1823
Phone Number
443-829-4562
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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