Organization
COMMUNITY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R PLANZ (CHIEF EXECUTIVE OFFICER)
(301) 663-8811
Entity
Organization
Contact information
Practice address
620 B RESEARCH COURT, FREDERICK, MD 21703
(301) 663-8811
Mailing address
620 B RESEARCH COURT, FREDERICK, MD 21703
(301) 663-8811
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731073100
—
MD
Enumeration date
10/18/2022
Last updated
10/18/2022
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