NPI 1720754518

Our Dream Home

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

Practice location

Address: 4305 Cinibar CT, Fort Washington, MD 20744-1212
Phone: (240) 286-3182

Authorised official

Name: Ify Gera Ede-Brown
Title: President
Phone: (240) 286-3182

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1720754518
Entity type: Organization
NPI issued: 20 Aug 2021
Record last updated: 20 Aug 2021

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.