| Millennium Residential Inc. | |
|
744 Dulaney Valley Rd Ste 15 Towson MD 21204-5132 | |
| (443) 409-3677 | |
| Not Available |
| Full Name | Millennium Residential Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 744 Dulaney Valley Rd Ste 15, Towson, Maryland |
| Authorized Official Name and Position | Tenicia S Washington (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4434093677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Residential Inc. 848 Kathy Dianne Dr Indian Land SC 29707-6898 Ph: (443) 531-1988 | Millennium Residential Inc. 744 Dulaney Valley Rd Ste 15 Towson MD 21204-5132 Ph: (443) 409-3677 |
| NPI Number | 1902666845 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902666845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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