Avena Staffing Group LLC
Respite Care in Laurel, MD. Organization (NPI-2).
NPI number1164687737
StatusActive
Last updated in NPPESJul 23, 2008
Details
- NPI
- 1164687737
- Entity type
- Organization (NPI-2)
- Legal business name
- Avena Staffing Group LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2008
- Last updated
- Jul 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385H00000X | Respite Care | R121487 | MD | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | LP41016 | MD | |
| 323P00000X | Psychiatric Residential Treatment Facility | R121487 | MD |
Other names
- Avena Company Limited Liability (Other Name)
Practice location
15036 Courtland PlaceLaurel, MD 20707
Phone 301-725-6196 · Fax 301-776-6834
Mailing address
15036 Courtland PlaceLaurel, MD 20707
Phone 301-725-6196 · Fax 301-776-6834
Authorized official
Victoria Chinye Emenanjo
Executive Director
3017256196
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