Healthcare Provider Details

I. General information

NPI: 1366355208
Provider Name (Legal Business Name): ALLIANCE CARE COMMUNITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13603 MONARCH VISTA DR
GERMANTOWN MD
20874-2964
US

IV. Provider business mailing address

13603 MONARCH VISTA DR
GERMANTOWN MD
20874-2964
US

V. Phone/Fax

Practice location:
  • Phone: 202-322-0997
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: ALICIA SMITH-EDDY
Title or Position: OWNER
Credential:
Phone: 202-322-0997