IndividualActive
Bendu Jackson
NPI 1376497040 · Assisted Living Facility · Baltimore, MD
Provider details
- NPI number
- 1376497040
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5696 Utrecht Rd
Baltimore, MD 21206-2905
Phone: (443) 825-9875
Approximate (ZIP-level) locationGet directions
Mailing address
5696 Utrecht Rd
Baltimore, MD 21206-2905
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.