| Organization Name: | STELLA MARIS INC SENIOR DAY CENTER |
| NPI Number: | 1174721518 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN STINNETTE (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 2300 Dulaney Valley Rd Timonium |
| State: | MD US |
| Postal Code: | 210932739 |
| Phone Number: | 4104277878 |
| Fax Number: | 4104277801 |
| NPI Enumeration Date: | 07/06/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 15553 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |