Provider Demographics
NPI:1639923808
Name:GALILEE ADULT DAYCARE CENTER
Entity type:Organization
Organization Name:GALILEE ADULT DAYCARE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-764-9456
Mailing Address - Street 1:7201 ALDEN WAY UNIT 3047
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2482
Mailing Address - Country:US
Mailing Address - Phone:443-764-9454
Mailing Address - Fax:
Practice Address - Street 1:5011 ARBUTUS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5723
Practice Address - Country:US
Practice Address - Phone:443-764-9456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care