NPI 1093034894
Expanding Potentials LLC
Practice location
- Address
- 5895 Morningbird Ln, Columbia, MD 21045-3520
- Phone
- (301) 801-1376
- Fax
- (443) 817-0715
- Mailing address
- PO Box 7053, Columbia, MD 21045-7053
Authorised official
- Name
- Brandy Kuereine O'Rourke
- Title
- Director
- Phone
- (301) 801-1376
Registered specialties (4)
Home Health Agency
Primary
Developmentally Disabled Services Day Training Agency
Community/Behavioral Health Agency
In Home Supportive Care Agency
Registry record
- NPI
- 1093034894
- Entity type
- Organization
- NPI issued
- 19 May 2010
- Record last updated
- 21 Apr 2023
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.