Healthcare Provider Details

I. General information

NPI: 1508775263
Provider Name (Legal Business Name): WONDERS LIVING L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 SUMMERHILL RD
TEMPLE HILLS MD
20748-3833
US

IV. Provider business mailing address

6202 SUMMERHILL RD
TEMPLE HILLS MD
20748-3833
US

V. Phone/Fax

Practice location:
  • Phone: 240-850-8310
  • Fax:
Mailing address:
  • Phone: 240-850-8310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRISTAL WASHINGTON
Title or Position: OWNER
Credential:
Phone: 240-850-8310