NPI | 1588862627 |
---|---|
Doing Business As | L.I.F.E. ADULT MEDICAL DAY CARE |
Entity Type | Organization |
Authorized Contact | THERESA MARIE FORREST Chief Operating Officer 410-735-5433 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MD 702205100) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD DDA-17237-05) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2019-03-06 |