Dominion Residence of Maryland, Inc
Dominion Residence of Maryland, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lanham, Maryland. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4415 Nicole Dr Ste GLanham, MD 20706-4357
Phone: (301) 624-9404
Fax: (301) 306-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1871255687 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Bechem — Executive Director · (301) 624-9404 |
| Other names | Dominion Residence Of Maryland, Inc |
| NPI enumerated | October 8, 2021 |
| Last updated in NPPES | October 8, 2021 |
| Certification date | October 8, 2021 |
| Mailing address | 4415 Nicole Dr Ste G, Lanham, MD 20706-4357 |
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