NPI 1265290712
Crown Care Corporation
Practice location
- Address
- 5100 Buckeystown Pike, Frederick, MD 21704-8336
- Phone
- (240) 416-1579
- Mailing address
- 5403 Richardsons Endeavor Dr, Bowie, MD 20720-3390
Authorised official
- Name
- Adegbenga Benjamin Kiladejo
- Title
- Manager
- Phone
- (240) 416-1579
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1265290712
- Entity type
- Organization
- NPI issued
- 11 Mar 2024
- Record last updated
- 11 Mar 2024
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.