Healthcare Provider Details

I. General information

NPI: 1386835668
Provider Name (Legal Business Name): WINTER GROWTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18110 PRINCE PHILIP DR
OLNEY MD
20832-1515
US

IV. Provider business mailing address

18110 PRINCE PHILIP DR
OLNEY MD
20832-1515
US

V. Phone/Fax

Practice location:
  • Phone: 301-774-7501
  • Fax:
Mailing address:
  • Phone: 301-774-7501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number648043803
License Number StateMD

VIII. Authorized Official

Name: CYNTHIA ROGERS
Title or Position: CEO
Credential:
Phone: 301-774-7501