# NISSI HOMES LLP

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

## Provider details

- **NPI number:** 1164801114
- **Authorized official:** DR. PETER FRU AKUFONGWE MBA, PHD (ADMINISTRATOR)
- **Authorized official phone:** (240) 498-1461

## Contact information

- **Practice address:** 20109 TORREY POND PL, MONTGOMERY VILLAGE, MD 20886-1119
- **Practice address phone:** (240) 498-1461
- **Mailing address:** 20109 TORREY POND PL, MONTGOMERY VILLAGE, MD 20886-1119

## 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