NPI 1295982262

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Organisation Assisted Living Facility Laurel, MD

Practice location

Address: 16111 Julie Ln, Laurel, MD 20707-2787
Phone: (240) 350-3015
Mailing address: 9398 Canterbury Riding, Laurel, MD 20723-1449

Authorised official

Name: Katia Toussaint Coley
Title: Ceo
Phone: (240) 350-3015

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 16AL0909-A (MD)

Other Assisted Living Facility providers in Maryland →

Nursing Care Agency

Agencies Taxonomy 251J00000X Licence 0605008 (MD)

Other Nursing Care providers in Maryland →

Registry record

NPI: 1295982262
Entity type: Organization
NPI issued: 21 Aug 2008
Record last updated: 21 Aug 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.