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Organization

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Organization

NEW CONNECTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LOREN WILSON HILL (CEO/TEACHER)
(410) 419-6084
Entity
Organization

Contact information

Practice address
1816 12TH ST NW, WASHINGTON, DC 20009-4422
(202) 380-9570
Mailing address
10612 HIGH BEAM COURT, COLUMBIA, MD 21044
(410) 419-6084
(410) 997-3734

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL

Other

Enumeration date
05/26/2016
Last updated
03/06/2017
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