| NPI | 1164076790 |
|---|---|
| Former Legal Business Name | HOME AWAY RESIDENTIAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | NKENGLEFE FELIX ATANGCHO Owner 301-807-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |