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Organization
S AND C UNITED CARE SERVICES INC
Active
Organization
S AND C UNITED CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONJA DESHAWN CARRERA PHD (DIRECTOR)
(301) 806-4791
Entity
Organization
Contact information
Practice address
6507 VALLEY PARK RD, CAPITOL HEIGHTS, MD 20743-2571
(301) 806-4791
(202) 204-5789
Mailing address
11005 TULIP HILL LN, UPPER MARLBORO, MD 20772-3974
(301) 806-4791
(202) 204-5789
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
DC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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