# NISSI HOMES LLP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063891018
- **Authorized official:** DR. JEAN JULES FOTSO MD (DIRECTOR QUALITY ASSURANCE)
- **Authorized official phone:** (301) 385-5743

## Contact information

- **Practice address:** 8604 BRIARWOOD CT, LAUREL, MD 20708-1320
- **Practice address phone:** (301) 385-5743
- **Mailing address:** 8604 BRIARWOOD CT, LAUREL, MD 20708-1320
- **Mailing address phone:** (301) 385-5743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015