| NPI | 1538598735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH I LIKAMBI Administrator 301-538-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MD R3446) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2023-05-10 |