11714 Tuscany Drive
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Laurel, MD. Organization (NPI-2).
NPI number1386879955
StatusActive
Last updated in NPPESMay 26, 2009
Details
- NPI
- 1386879955
- Entity type
- Organization (NPI-2)
- Legal business name
- 11714 Tuscany Drive
- Organization subpart
- No
- Enumeration date
- May 26, 2009
- Last updated
- May 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
11714 Tuscany DrLaurel, MD 20708-2841
Phone 301-332-7222
Mailing address
11714 Tuscany DrLaurel, MD 20708-2841
Authorized official
Ngozi Maryann Okudoh
Administrator
3013327222
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