National Provider Identifier Database

DEVELOPMENTAL SUPPORTS CENTER
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

DEVELOPMENTAL SUPPORTS CENTER
7105 RUDISILL CT APT 1A
WINDSOR MILL, MD21244-6533
Phone: 443-527-9261
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for DEVELOPMENTAL SUPPORTS CENTER

NPI Number 1063087930
Legal business name
LBN
DEVELOPMENTAL SUPPORTS CENTER
Authorized official OLUSEGUN SOFOWOTE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/24/2021
Last updated 07/19/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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