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WANDA PULLIAM
NPI 1609523885
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Baltimore, MD

Active since March 07, 2022
843 N AUGUSTA AVE, BALTIMORE, MD 21229(443) 829-4562 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanda Pulliam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA PULLIAM (NPI 1609523885) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Baltimore, Maryland and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1609523885
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameWANDA PULLIAM
Location Address843 N AUGUSTA AVEBaltimore, MD 21229-1823
Mailing Address843 N Augusta AveBaltimore, MD 21229-1823 · (443) 829-4562
Phone(443) 829-4562
Sole ProprietorYes
Enumeration DateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1609523885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
843 N AUGUSTA AVE, Baltimore, MD 21229
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Pulliam's NPI number?

The NPI number for Wanda Pulliam is 1609523885. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Wanda Pulliam located?

Wanda Pulliam practices at 843 N Augusta Ave, Baltimore, MD 21229. The listed phone number is (443) 829-4562.

What is Wanda Pulliam's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Wanda Pulliam was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.