Whalio Doctors

NPI 1386879955

11714 Tuscany Drive

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Laurel, MD

Practice location

Address
11714 Tuscany Dr, Laurel, MD 20708-2841
Phone
(301) 332-7222

Authorised official

Name
Ngozi Maryann Okudoh
Title
Administrator
Phone
(301) 332-7222

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Day Training/Habilitation Specialist
Nursing Service Related Providers Taxonomy 373H00000X

Registry record

NPI
1386879955
Entity type
Organization
NPI issued
26 May 2009
Record last updated
26 May 2009

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.