NPI 1942947817

Martha Assisted Living

Organisation Assisted Living Facility (Mental Illness) Olney, MD

Practice location

Address: 3613 Dellabrooke St, Olney, MD 20832-1028
Phone: (301) 326-7425
Fax: (240) 833-3256

Authorised official

Name: Vidana Jayawardana
Title: Alm
Phone: (301) 326-7425

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

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Registry record

NPI: 1942947817
Entity type: Organization
NPI issued: 12 May 2022
Record last updated: 12 May 2022

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.