Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Marlette Blue

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1376321356

MS. Marlette Blue is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2023

Practice location Address checks out

2805 Lake Ave
Baltimore, MD 21213-1217
Phone: (443) 364-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 30AL3928 (MD)

Record details

NPI number1376321356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address2805 Lake Ave, Baltimore, MD 21213-1217

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