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Contact Information

PHOENIX FREEDOM FOUNDATION OF MD, INC
14207 KATHLEEN LN
BRANDYWINE, MD20613-3006
 Phone: 240-443-1803
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician, Other

247200000X 75 Slide Preparation Facility
 

In Home Supportive Care

253Z00000X
 

Respite Care, Intellectual and/or Developmental Disabilities

385HR2060X
Indicates primary specialty

NPI Profile & details for PHOENIX FREEDOM FOUNDATION OF MD INC · (Female)

NPI Number 1457002438
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2022
Last updated 01/12/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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