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Eva Life Giver Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baltimore, Maryland
NPI 1619694346

Eva Life Giver Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Baltimore, MD. Eva Life Giver Inc. practices in Baltimore, MD. The NPI Number for Eva Life Giver Inc. is 1619694346 and holds a License No. (Maryland).

The current practice location address for Eva Life Giver Inc. is 5003 Ardmore Way, Baltimore, MD and can be reached out via phone at 443-271-8046 and via fax at 443-873-8959.

Location: 5003 Ardmore Way, Baltimore, MD, 21212-4401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619694346
Provider Name
Eva Life Giver Inc.
Credential
Provider Entity Type
Organization
Address
5003 Ardmore Way, Baltimore, MD, 21212-4401
Phone Number
443-271-8046
Fax Number
443-873-8959
Provider Enumeration Date
10/24/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801345277 05 MD
1831622315 05 MD
14477619507 05 MD
1003210873 05 MD
1093248577 05 MD
1699076562 05 MD
institution
Provider Business Practice Location Address Details
Address
5003 Ardmore Way
City
Baltimore
State
Maryland
Zip
21206-5004
Phone Number
443-271-8046
Fax Number
443-873-8959
person
Provider Business Mailing Address Details
Address
5003 Ardmore Way
City
Baltimore
State
Maryland
Zip
21206-5004
Phone Number
443-271-8046
Fax Number
443-873-8959
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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