NPI 1720692767

Life Force for Older Americans

Organisation Custodial Care Facility Severn, MD

Practice location

Address: 1869 Hawk CT, Severn, MD 21144-3114
Phone: (410) 240-4517
Fax: (610) 359-1117
Mailing address: 3544 W Chester Pike STE 216, Newtown Square, PA 19073-4107

Authorised official

Name: Victor Evereklian
Title: Ceo
Phone: (610) 356-1943

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Other Custodial Care Facility providers in Maryland →

Registry record

NPI: 1720692767
Entity type: Organization
NPI issued: 8 Sep 2020
Record last updated: 8 Sep 2020

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.