institution
Dominion Residence Of Maryland,inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lanham, Maryland
NPI 1871255687

Dominion Residence Of Maryland,inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lanham, MD. Dominion Residence Of Maryland,inc practices in Lanham, MD. The NPI Number for Dominion Residence Of Maryland,inc is 1871255687 and holds a License No. (Maryland).

The current practice location address for Dominion Residence Of Maryland,inc is 4415 Nicole Dr Ste G, Lanham, MD and can be reached out via phone at 301-624-9404 and via fax at 301-306-2022.

Location: 4415 Nicole Dr Ste G, Lanham, MD, 20706-4357
institution
Provider Profile Details
NPI Number
1871255687
Provider Name
Dominion Residence Of Maryland,inc
Credential
Provider Entity Type
Organization
Address
4415 Nicole Dr Ste G, Lanham, MD, 20706-4357
Phone Number
301-624-9404
Fax Number
301-306-2022
Provider Enumeration Date
10/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4415 Nicole Dr Ste G
City
State
Zip
20706-4357
Phone Number
301-624-9404
Fax Number
301-306-2022
person
Provider Business Mailing Address Details
Address
4415 Nicole Dr Ste G
City
State
Zip
20706-4357
Phone Number
301-624-9404
Fax Number
301-306-2022
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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