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Ms. Lisa D Smith
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Frederick, Maryland
NPI 1558514505

Lisa D Smith is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Baltimore, MD. Lisa D Smith practices in Frederick, MD. The NPI Number for Lisa D Smith is 1558514505 and holds a License No. 06000 (Maryland).

The current practice location address for Lisa D Smith is 93 S Mccain Dr, Frederick, MD and can be reached out via phone at 410-597-8788.

Location: 93 S Mccain Dr, Frederick, MD, 21244-1975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558514505
Provider Name
Lisa D Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
93 S Mccain Dr, Frederick, MD, 21244-1975
Phone Number
410-597-8788
Fax Number
Provider Enumeration Date
11/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
216211300 05 MD
institution
Provider Business Practice Location Address Details
Address
93 S Mccain Dr
City
Frederick
State
Maryland
Zip
21703-6007
Phone Number
410-597-8788
Fax Number
person
Provider Business Mailing Address Details
Address
93 S Mccain Dr
City
Frederick
State
Maryland
Zip
21703-6007
Phone Number
410-597-8788
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
06000 (Maryland)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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