NPI 1043749468
Ccc Healthcare, LLC
Practice location
- Address
- 4205 Hatties Progress Drive, Bowie, MD 20720
- Phone
- (908) 463-3115
- Mailing address
- 4205 Hatties Progress Dr, Bowie, MD 20720-6321
Authorised official
- Name
- Solomon Nchinda
- Title
- Director
- Phone
- (908) 463-3115
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1043749468
- Entity type
- Organization
- NPI issued
- 8 Jun 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.