NPI 1164687737

Avena Staffing Group LLC

Organisation Respite Care Laurel, MD

Practice location

Address: 15036 Courtland Place, Laurel, MD 20707
Phone: (301) 725-6196
Fax: (301) 776-6834

Authorised official

Name: Victoria Chinye Emenanjo
Title: Executive Director
Phone: (301) 725-6196

Registered specialties (3)

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence R121487 (MD)

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence LP41016 (MD)

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Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence R121487 (MD)

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Registry record

NPI: 1164687737
Entity type: Organization
NPI issued: 23 Jul 2008
Record last updated: 23 Jul 2008

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.