Provider Demographics
NPI:1770592719
Name:CIRCLE OF FRIENDS OWINGS MILLS
Entity type:Organization
Organization Name:CIRCLE OF FRIENDS OWINGS MILLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VEZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-517-1828
Mailing Address - Street 1:11 EAST CHESTNUT HILL LANE
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136
Mailing Address - Country:US
Mailing Address - Phone:410-517-1828
Mailing Address - Fax:410-517-3551
Practice Address - Street 1:11 EAST CHESTNUT HILL LANE
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136
Practice Address - Country:US
Practice Address - Phone:410-517-1828
Practice Address - Fax:410-517-3551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care