National Provider Identifier Database

11714 TUSCANY DRIVE
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

11714 TUSCANY DRIVE
11714 TUSCANY DR
LAUREL, MD20708-2841
Phone: 301-332-7222
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Day Traning/Habilitation Specialist 373H00000X

* Indicates primary specialty

NPI Profile & details for 11714 TUSCANY DRIVE

NPI Number 1386879955
Legal business name
LBN
11714 TUSCANY DRIVE
Authorized official NGOZI OKUDOH - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/26/2009
Last updated 05/26/2009 - About 17 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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