Healthcare Provider Details

I. General information

NPI: 1609789791
Provider Name (Legal Business Name): MAC CARE AND SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19254 CIRCLE GATE DR APT 201
GERMANTOWN MD
20874-5217
US

IV. Provider business mailing address

19254 CIRCLE GATE DR APT 201
GERMANTOWN MD
20874-5217
US

V. Phone/Fax

Practice location:
  • Phone: 908-884-1792
  • Fax:
Mailing address:
  • Phone: 908-884-1792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: QUENNIE QUILONG
Title or Position: OWNER
Credential:
Phone: 908-884-1792