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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

NPI # 1457002438
LBN Legal business name PHOENIX FREEDOM FOUNDATION OF MD, INC
Authorized official QUORNELIA HYPOLITE - (PROGRAM DIRECTOR/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2022
Last updated 01/12/2022 - About 4 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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