Integrated Community Outreach Services, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Laurel, MD. Organization (NPI-2).
NPI number1881410645
StatusActive
Last updated in NPPESNov 26, 2024
Details
- NPI
- 1881410645
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrated Community Outreach Services, INC.
- Organization subpart
- No
- Enumeration date
- Nov 26, 2024
- Certification date
- Nov 26, 2024
- Last updated
- Nov 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – |
Practice location
9630 Hadleigh CtLaurel, MD 20723-5932
Phone 202-651-0214
Mailing address
Po Box 56Savage, MD 20763-0056
Phone 202-651-0214
Authorized official
Michael Allen
Ceo
2026510214
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