Basic Information
| Provider Information | |||||||||
| NPI: | 1881713295 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE LEAGUE FOR PEOPLE WITH DISABILTIES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1111 E COLD SPRING LN | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212393932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103230500 | ||||||||
| FaxNumber: | 4103233298 | ||||||||
| Practice Location | |||||||||
| Address1: | 1111 E COLD SPRING LN | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212393932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103230500 | ||||||||
| FaxNumber: | 4103233298 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CARTER | ||||||||
| AuthorizedOfficialFirstName: | ANTOINETTE | ||||||||
| AuthorizedOfficialMiddleName: | DIANE | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR, MEDICAL DAY | ||||||||
| AuthorizedOfficialTelephone: | 4103230500 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | MA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA0600X | 11466 | MD | Y | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
No ID Information.