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NPI Code Detail

MEDICARE: EBED COMMUNTIY IMPROVEMENT INC

MEDICARE: EBED COMMUNTIY IMPROVEMENT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility039138700DC

General Provider Information

NPI Number : 1699958348
Entity Type Code : Organization
Provider Name (Legal Business Name) : EBED COMMUNTIY IMPROVEMENT INC
Provider Business Mailing Address
First Line : 4487 FORBES BLVD
Second Line :
City : LANHAM
State : MD
Zip : 20706-4354
Country : US
Telephone Number : 301-306-1050
Fax Number :
Provider Business Practice Location Address
First Line : 4487 FORBES BLVD
Second Line :
City : LANHAM
State : MD
Zip : 20706-4354
Country : US
Telephone Number : 301-306-1050
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. RHONDA ALANE GRAHAM
Credential :
Telephone Number : 301-306-1050
Provider Enumeration Date : 12/17/2007
Last Update Date : 12/17/2007

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Directions to “EBED COMMUNTIY IMPROVEMENT INC ” Practice Location

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