Provider Demographics
NPI:1356455471
Name:ALL TOGETHER ASSISTED LIVING
Entity Type:Organization
Organization Name:ALL TOGETHER ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-486-8650
Mailing Address - Street 1:10711 RED RUN BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5138
Mailing Address - Country:US
Mailing Address - Phone:410-486-8650
Mailing Address - Fax:410-486-6935
Practice Address - Street 1:10711 RED RUN BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5138
Practice Address - Country:US
Practice Address - Phone:410-486-8650
Practice Address - Fax:410-486-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0001001251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD341402700Medicaid