Provider Demographics
NPI:1659196897
Name:ALLEYNE, NATAE C
Entity type:Individual
Prefix:
First Name:NATAE
Middle Name:C
Last Name:ALLEYNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5512 HILLTOP AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-3515
Mailing Address - Country:US
Mailing Address - Phone:443-723-3104
Mailing Address - Fax:
Practice Address - Street 1:5512 HILLTOP AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-3515
Practice Address - Country:US
Practice Address - Phone:443-723-3104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility