| Organization Name: | ST. MARY'S COUNTY GOV'T, DEPT. OF AGING, MEDICAL ADULT DAY SERVICES |
| NPI Number: | 1023235157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI JENNINGS- HARRIS (DIRECTOR, DEPARTMENT OF AGING) |
| Mailing Address: | 24400 Mervell Dean Rd Hollywood |
| State: | MD US |
| Postal Code: | 206362709 |
| Phone Number: | 3013736515 |
| Fax Number: | 3013736517 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |