DOMINION RESIDENCE OF MARYLAND,INC; NPI #1871255687

Contact Information

DOMINION RESIDENCE OF MARYLAND,INC

4415 NICOLE DR STE G
LANHAM, MD 20706-4357

Phone: 301-624-9404
Fax: 301-306-2022
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for DOMINION RESIDENCE OF MARYLAND,INC

NPI Number	`1871255687`
LBN Legal business name	DOMINION RESIDENCE OF MARYLAND,INC
Authorized official	THOMAS BECHEM - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/08/2021
Last updated	10/08/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DOMINION RESIDENCE OF MARYLAND,INC

Contact Information

Specialty

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

NPI Profile & details for DOMINION RESIDENCE OF MARYLAND,INC

Reviews for DOMINION RESIDENCE OF MARYLAND,INC