Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARLETTE BLUE
Active Sole ProprietorMS. MARLETTE BLUE is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in BALTIMORE, Maryland. NPI 1376321356 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · BALTIMORE, MD
Registration Details
- NPI Number
- 1376321356
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2023 (2.9321387041279 yrs)
- Last Updated
- Sep 20, 2023
- License
-
30AL3928 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2805 LAKE AVEBALTIMORE, MD, 212131217Browse MD providers · Browse ZIP 21213
- Phone
- 4433641908
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.