Healthcare Provider Details

I. General information

NPI: 1205255072
Provider Name (Legal Business Name): KARIB SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 WARNER AVE
HYATTSVILLE MD
20784-2449
US

IV. Provider business mailing address

804 CYPRESS POINT CIR
MITCHELLVILLE MD
20721-2302
US

V. Phone/Fax

Practice location:
  • Phone: 301-322-2825
  • Fax:
Mailing address:
  • Phone: 301-324-7130
  • Fax: 301-324-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number16AL441G
License Number StateMD

VIII. Authorized Official

Name: KEITH ANTHONY ROBB
Title or Position: PRESIDENT
Credential:
Phone: 301-324-7130