Individual
DAMON PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9438 ADELAIDE LANE, IMAGINELIFELLC@AOL.COM, OWINGS MILL, MD 21117
(410) 458-8427
Mailing address
9438 ADELAIDE LANE, IMAGINELIFELLC@AOL.COM, OWINGS MILL, MD 21117
(410) 458-8427
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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