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Organization
EXPANDING POTENTIALS LLC
Active
Organization
EXPANDING POTENTIALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRANDY KUEREINE O'ROURKE M.ED., BCBA, LBA (DIRECTOR)
(301) 801-1376
Entity
Organization
Contact information
Practice address
5895 MORNINGBIRD LN, COLUMBIA, MD 21045-3520
(301) 801-1376
(443) 817-0715
Mailing address
PO BOX 7053, COLUMBIA, MD 21045-7053
(301) 801-1376
(443) 817-0715
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1-07-3491
VA
251E00000X
Home Health Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
05/19/2010
Last updated
04/21/2023
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