National Provider Identifier Database

AVENA STAFFING GROUP LLC
Respite Care


Contact Information

AVENA STAFFING GROUP LLC
15036 COURTLAND PLACE
LAUREL, MD20707
Phone: 301-725-6196
Fax: 301-776-6834
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for AVENA STAFFING GROUP LLC

NPI Number 1164687737
Legal business name
LBN
AVENA STAFFING GROUP LLC
Authorized official VICTORIA EMENANJO - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/23/2008
Last updated 07/23/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: LP41016
  • MD License #: R121487

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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