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Doleta Micshaye Allen
Assisted Living Facility in Waldorf, Maryland
NPI 1134773237

Doleta Micshaye Allen is an Assisted Living Facility based in Waldorf, MD. Doleta Micshaye Allen practices in Waldorf, MD. The NPI Number for Doleta Micshaye Allen is 1134773237 and holds a License No. 08AL0143-A (Maryland).

The current practice location address for Doleta Micshaye Allen is 4018 Blackbird Ct, Waldorf, MD and can be reached out via phone at 301-638-3194. You can also correspond with Doleta Micshaye Allen through the mailing address at 4018 BLACKBIRD CT, WALDORF, MD - 20603-4642 (mailing address contact number: 301-638-3194).

Location: 4018 Blackbird Ct, Waldorf, MD, 20603-4642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134773237
Provider Name
Doleta Micshaye Allen
Credential
Provider Entity Type
Individual
Gender
Female
Address
4018 Blackbird Ct, Waldorf, MD, 20603-4642
Phone Number
301-638-3194
Fax Number
Provider Enumeration Date
07/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4018 Blackbird Ct
City
Waldorf
State
Maryland
Zip
20603-4642
Phone Number
301-638-3194
Fax Number
person
Provider Business Mailing Address Details
Address
4018 Blackbird Ct
City
Waldorf
State
Maryland
Zip
20603-4642
Phone Number
301-638-3194
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
08AL0143-A (Maryland)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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