Provider Demographics
NPI:1588446967
Name:BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH, INC
Entity type:Organization
Organization Name:BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOF
Authorized Official - Prefix:
Authorized Official - First Name:ZHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-922-2100
Mailing Address - Street 1:3300 GAITHER RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2916
Mailing Address - Country:US
Mailing Address - Phone:410-922-2100
Mailing Address - Fax:
Practice Address - Street 1:3300 GAITHER RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2916
Practice Address - Country:US
Practice Address - Phone:410-922-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty