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Wings Of Life Mobile Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fruitland, Maryland
NPI 1356896708

Wings Of Life Mobile Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fruitland, MD. Wings Of Life Mobile Llc practices in Fruitland, MD. The NPI Number for Wings Of Life Mobile Llc is 1356896708 and holds a License No. (Maryland).

The current practice location address for Wings Of Life Mobile Llc is 202 Holly St, Fruitland, MD and can be reached out via phone at 410-726-6573.

Location: 202 Holly St, Fruitland, MD, 21826-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356896708
Provider Name
Wings Of Life Mobile Llc
Credential
Provider Entity Type
Organization
Address
202 Holly St, Fruitland, MD, 21826-2005
Phone Number
410-726-6573
Fax Number
Provider Enumeration Date
08/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
202 Holly St
City
Fruitland
State
Maryland
Zip
21826-2005
Phone Number
410-726-6573
Fax Number
person
Provider Business Mailing Address Details
Address
202 Holly St
City
Fruitland
State
Maryland
Zip
21826-2005
Phone Number
410-726-6573
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
681104140001 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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