Organization
ALIVE WELLNESS HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL HLONTOR DR (PRESIDENT)
(240) 421-8408
Entity
Organization
Contact information
Practice address
12312 QUAIL WOODS DR, GERMANTOWN, MD 20874-1542
(240) 421-8408
Mailing address
12312 QUAIL WOODS DR, GERMANTOWN, MD 20874-1542
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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