Provider Demographics
NPI:1992002620
Name:WALTER P. CARTER CHILD CARE CENTER
Entity Type:Organization
Organization Name:WALTER P. CARTER CHILD CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-237-6396
Mailing Address - Street 1:4815 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-5226
Mailing Address - Country:US
Mailing Address - Phone:301-237-6396
Mailing Address - Fax:410-531-5592
Practice Address - Street 1:7017 WOODSCAPE DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1635
Practice Address - Country:US
Practice Address - Phone:301-237-6396
Practice Address - Fax:410-531-5592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD150158252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency