Provider Demographics
NPI:1306732987
Name:RALAN ASSISTED LIVING
Entity type:Organization
Organization Name:RALAN ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EGUVWESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-902-4289
Mailing Address - Street 1:413 LYMAN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3512
Mailing Address - Country:US
Mailing Address - Phone:443-902-4289
Mailing Address - Fax:443-869-2547
Practice Address - Street 1:413 LYMAN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3512
Practice Address - Country:US
Practice Address - Phone:443-902-4289
Practice Address - Fax:443-869-2547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care